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E-841 Dedication in Fee for Roadway Purposes, 21871 Lomita Ave, APN 357-16-066RECORDING REQUESTED BY : City of Cupertino WHEN RECORDED, MAIL TO: City Clerk's Office City of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 NO FEE IN ACCORDANCE WITH GOV. CODE 27381 23873694 Regina Alcomendras Santa Clara County -Clerk-Recorder 02/22/2018 01:30 PM Ti lies: 1 Fees : 10 .00 Taxes : 0 Total: 0.00 Pages: 17 (SPACE ABOVE THIS LINE FOR RECORDER'S USE) DEDICATION IN FEE FOR ROADWAY PURPOSES 21871 Lomita Avenue, Cupertino, CA 95014 APN 357-16-066 ~ Original D For Fast Endorsement "NO FEE" City of Cupertino CERTIFICATE OF ACCEPTANCE is hereby given in order to comply with the provisions of Section 27381 of the Government Code. This is to certify that the interest in real property conveyed by the deed or grant dated January 19, 2018 from 21871 Lomita Avenue, Cupertino, CA 95014 to the City of Cupertino, a governmental agency, is hereby accepted by order of the Public Works Director, and the grantee consents to recordation thereof by its duly authorized officer. Dated: February 15, 2018 By: ,,j}~ (ti!nSapudar Senior Office Assistant DEDICATION IN FEE FOR ROADWAY PURPOSES 21871 Lomita Avenue, Cupertino, CA 95014 APN 357-16-066 Hao Chen, a married man as his sole and separate property and Leilei Wang, a married woman as her sole and separate propertv and Ran Tao, a married man as his sole and separate propertv and Zhaohua Meng, a married man as his sole and separate property, ded icates in fee t o the CITY OF CUPERTINO , a California municipal corporation, for public purposes including, but not limited to roadway purposes, together with the right to construct, repair, operate, and maintain any and all public utilities and impro ve ments in , on, under, along and across the real propetiy w hich shall be or become necessary for preservation of the public safety , welfare or convenience, the rea l property described in Exhibit "A '' and shown in Exhibit '·B ", which is situated in the City of Cupertino, County of Santa Clara, State of California. IN WITNESS WHEREOF, executed this ..J..j__c1ay of.A4J?<P720 l 8. Owners: Hao Chen Leilei Wang Ran Tao Zhaohua Meng City of Cupertino: ~E Director of Public Works (Notary aclawwledgment to be attached) CALIFORNIA ALL-PURPOSE CERTIFICATE OF ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California } County of ~ ~ ('~Cb-, } On ~ 11--1 ·Z,~\ ~ before me , _:::,,,_...:_V-.L_,_A __ \L__,,i,.,.,,N="S=T=l-c~N~o ~==+1,-----~--· , ( ere insert nam an personally appeared \~() c.V\UI\ who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted , executed the instrument. I certify under PENAL TY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. (Notary Public Seal) INSTRUCTIONS FOR COMPLETING THIS FORM ADD ITI Q N AL Q PTI Q NAL INF Q RMA Tl Q N This fo rm complies with current California statutes regarding notary wording and, {Title or descriplion of attached doc um ent continued) Number of Pages _2_ Document Date \ · \ q · L8 CAPACITY CLAIMED BY THE SIGNER -~ Ind iv idual (s) Co rpora te Officer (Title) D Partner(s) D Attorney -in-Fact o Trustee(s) 0 Other _________ _ 2015 Version www.NotaryClasses .com 800-873-9865 if needed, should be completed and al/ached to th e docum ent. Acknowledgments from oth er sta tes may be completed fo r doc um ents being sen t to th at state so long as the wording does not req uire th e California nota,y to viola te Ca lifornia nota,y law. • State and Coun ty infonnation must be th e Sta te and County whe re th e document s ign er(s) personall y appeared before th e notary public for acknowledgm ent. • Date of notari za ti on mu st be the date that th e sign er(s) personally appeared which mu st also be th e same date th e ackno w ledg ment is co mpl eted. • Th e no taty public mu st ptint hi s or her name as it a pp ears w ithin hi s or he r commi ss ion fo ll owed by a co mma and th e n your title (notary publi c). • Print th e nam e(s) of docum ent signer(s) who personall y appear at th e time of notati za tion. • Indi cate th e COtTec t sin gul ar or plw·al fon n s by cross in g off in c0tTect fonns (i .e . he/she/they, is /are) or circ lin g th e COtTect fonns. Fai lure to COtTectly indicate thi s in fonnation may lead to rejection of document recordin g . • Th e nota1y seal im pression must be clear and pho tographicall y re producible. Impression must not cover tex t or lines . If seal impress io n smudges, re -seal if a suffi c ient area penu its, ot he rwi se comple te a di ffere nt acknow ledgme nt fonn . • Signature of th e notary public mu st match th e signature on fil e wi th th e office of th e county clerk. •:• Ad diti ona l infonnation is not req uired but coul d he lp to e nsure thi s acknow led gme nt is not mi sused or attach ed to a di ffere nt document. ••• lndi ca te titl e or type of a ttached doc um ent, number o f pa ges and date. •:• lndi cate th e ca pac ity claimed by th e s ign er. If th e claim ed capacity is a corp ora te officer, indi ca te th e titl e (i.e . CEO, CFO, Secre ta1y). • Sec ure ly attach thi s doc um e nt to th e s ig ned d oc um e nt w ith a stapl e . City of Cupertino: ~:::P=E======--- Director of Public Works (Notary acknowledgment to be attached) Owners: Hao Chen Ran Tao Zhaohua Meng DEDICATION IN FEE FOR ROADWAY PURPOSES 21871 Lomita Avenue, c'up~r 11 ~«~,: · '-."':~ APN 357,16 1066•1,.J · ·,, ,,, '· , 1 •, · ·• • '"-, , ' ,, .~ . .,. .. .; ' '·'r.,J C;15M .·,;~ ' .i)~ ·,. ,· · :-,.,t d t~ * ri t'l,~irT',r~·i '!"·'1t.-.1,. ~"'4,; ,•' f1 ·· r.\·'. -. # ., .t: , ... JJl,,,.} ·,/ ~-1,~~.;::~~ ..21~'.;,::l 'fl'll:l~' I'~) . J!"2•;, ii' • ~·r,,.-,--....-;,i,.. ~ /1, ....... ;· ....... ~ ... ,,. .. ~ Hao Chen, a married man as his sole and separate property and Leilei Wang, a married woman as her sole and separate property and Ran Tao, a married man as his sole and separate property and Zhaohua Meng, a married man as his sole and separate property, dedicates in fee to the CITY OF CUPERTINO , a California municipal corporation , for public purposes including, but not limited to roadway purposes, together with the right to construct, repair, operate, and maintain any and all public utilities and improvements in , on, under, along and across the real propet1y which shall be or become necessary for preservation of the public safety, welfare or convenience, the real property described in Exhibit "A" and shown in Exhibit "B ", which is situated in the City of Cupet1ino , County of Santa Clara, State of California. IN WITNESS WHEREOF , executed this / 7 day of 2hz«"7v , ~- i,oti . ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Santa Clara On 1/17/2018 before me, Evan Jones, Notary Public (insert name and title of the officer) personally appeared _L_e_i_le_i _W_a_n_g _____________________ _ who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENAL TY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. ... -..... -..... --..... ... -...... WITNESS my hand and official seal. 4-__ // - Signature ____ [~---------- "9--·· . EVAN CARTER JONES 1 J, . . · Notary Public • California -~ San Mateo County I · Commission ti 2161163 ... • _ ·~ _· Mv Comm. Expires Jul 28. 2020 I ----------(Seal) City of Cupertino: ~~- Timm Borden, PE Director of Public Works (Notary acknowledgment to be attached) Owners: Hao Chen Leilei Wang Ran Tao Zhaohua Meng CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§ 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached , and not the truthfulness , accuracy, or validity of that document. State of California County of R to. me...do.., ) ) On O \ / 1 '6 / c2o t 3 ' Date Here Insert Name and Title of the fficer personally appeared -~-C\._T) ___ 1_o_z _____ ==-~--_-_-_--_·--_-_--_-_·· -_-·-_-_-_-_ .. ==---:::::--____ _ before me, ....!.O~""-'-'b=. """<3_..,,"lo.='='----'-==Q..JJ..::I....=' =·=-.....,_N.::...::o"-~==' ~-'~'-"'.u..=~::..=:.::....:·· c..,=-· , Name(s) of Signer(s) who proved to m e on the basis of satisfactory evidence to be the person~ whose name.(81 is /are subscribed to the within instrument and acknowledged to me that he/sl;le /they executed the same in his/he't/t~ authorized capacity(i@s'), and that by his /her/their signature(st on the instrument the person.(a), or the entity upon behalf of which the person(BJ acted, executed the instrument. DEBORA BREAUX COMM .# 2189761 c.. NOTARY PUBLIC•CALIFORNIA )> ALAMEDA COUNTY ~ My Commission Expires ( APRIL 06 . 2021 • • • 0 Place Notary Seal Above I certify under PENAL TY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature_~-<-----,----~--==;;-~~.,-~--=-- Signature of Not~ Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: ________ _ Number of Pages: Signer(s) Other Than Named Above: ------------- Capacity(ies) Claimed by Signer(s) Signer 's Name: -------------Signer's Name:------------- . D Corporate Officer -Title(s): ______ _ 0 Corporate Officer -Title(s): ______ _ D Partner -D Limited D General D Partner -D Limited D General D Individual D Attorney in Fact D Individual D Attorney in Fact D Trustee D Guardian or Conservator D Trustee D Guardian or Conservator D Other:----------------D Other: --------------- Signer Is Representing: _________ _ Signer Is Representing: _________ _ ©2014 National Notary Association· www.NationalNotary .org • 1-800-US NOTARY (1-800 -8 76-6827) Item #5907 Owners: Hao Chen Leilei Wang Ran Tao City of Cupertino: ~-,-P_E ___ _ Director of Public Works (Notary acknowledgment to be attached) CALIFORNIA ALL-PURPOSE ACKNOWLEDGMEN T CIVIL CODE § 1189 A notar y public or other offic er completing this ce rt ifi cate verifie s only th e identity of the indivi duai wl10 signed the doc um ent to wl1ich thi s ce rtificate is atta ched , and not the truthfulnes s, acc ura cy, or va li c!ity of that do cull!t'n t. Stat e of California County of St?Ivffi\ c((Avl)-.. } On }a,,. / J7 4 ) ·v0I ~ before m e , (#e,th"4 Sit.et,, fvo'1-z;~ Pv. bl ~ C Dote H ere ln5€'11 Na me and Titl e orfrh e Officer personally appeared ________ 2_~_{).()_h_lAfA.___,__--'vV)'---'_e~_--+------------- Nom e(st of Sigo.J·(s-t who proved to m e on th e basis of sa ti sfactory eviden ce to b e th e person~) w hose n amefs) is/a.i;e s ubsc rib ed to th e within in str ument and acknowle dg e d to me th at h e/~y exec ute d th e same in hi s/~-r authori ze d capacity(~ and that by his/11ei /tl 1ei1 signature fg) on th e in strum e nt th e person~, 01· th e e ntity upon behalf of w hi c h th e p e rson(S1 ac ted , exec ut ed th e in strum e nt. Plac e Notary Seal and/or Stamp Above I ce rti fy under PENAL TY OF PERJURY und e r th e laws of the St at e of Californ ia that th e forego in g paragrap h is tru e and correc t. WITNESS my h and and offi cia l se al. Signature ----~------------ Signa ture of Notary Public OPTIONAL Completing this information can d e ter alteration of the document or fraudule nt reattachm e nt of this fo rm to an unintended docum ent. Description of Attached Docu~ent Titl e or Typ e of Docum ent: f)ecnud711Y\ IV) Fee Fov eo:r)wzl Do cu m e nt Date : ·JtJ"' · ! Q-tl-i 2-,o/,t Purpo~; I Numb e r o f Pag es: '5"t -X Sign e r(s) Oth e r Than N amed Abov e : -~Af~o ~tlkv~·~~~~-3 .... Y'~f?~ii~------------- Capacity(ies) Claimed by Signer(s) Signer's Nam e : 2 k::\aoMut>, me~ o Corporate Offi ce r -Titl e (s): ___ J ____ _ o Part n er -D Limite d D Gen era l eilndividual D Attorn ey in Fa c t o Tru stee o Guardian of Con serv ator o Oth e r : Signer is Repre se nting : _________ _ i.'~2017 Nati ona l Nota ry A ssoc iation Signer's Name: ____________ _ D Corporate Offic er -Titl e (s}: ______ _ o Partn e r -o Limite d o General D Indi vid u al D Tru st ee D Other: D Attorney in Fact o Guardian of Con serva tor Signer is Represen ting : _________ _ Ml304-09 (09/17) CALIFORNIA ALL -PURPOSE CE RTIFICATE OF ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached , and not the truthfulness , accuracy , or validity of that document. State of California } County of -----'6~·t.L-H_.,,,l_:fec=·~· ~c.Q.MQL~~--} 0 n kb l l-1 '2--0i B before me , ..-:s....1---==---..:.-'--'---m-:[,r\J=---='?cr=r ~=~=l) =-:-k±:s,--'~'--'-----, personally appeared -------~-------~---~--(H-e-,e-in-se_rt_n-am_e_a-nd_t_ille_o_f_th_e _o _r_) ----- Wh0 proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by h is/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted , executed the instrument. I certify under PENAL TY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. (Not ary Public Sea l) INSTRUCTIONS FOR COMPLETING THIS FORM ADDITIONAL OPTIONAL INFORMATION Thi s form complies w ith cu,-,.ent California statutes re garding notary wording and, (Title or de criptio n of attached documen t) [-\QN ~c;-1---L l.p ~olo Cd (Title or descrip tion of attached document co nti nu ed) Numbe r of Pages __ Doc um ent Date I . / 1, I J CAPACITY CLAIMED BY THE SIGNER ~ Individual (s ) D Corporat e Offi cer (Titl e) D Partn er(s ) D A ttorne y-i n-Fact o Trustee (s) 0 Oth er---------- 2015 Version www.NotaryClasses com 800-873-9865 if needed , sho uld be completed and al/ach ed to th e do cument. Acknowledgments from o th er stales may be compleied for doc11111en/s being sent to that state so long "(J.J.J\ as the wording d oes 1101 req uire !h e California 11ot01y 10 violate California 11 o ta1)" ./ law. • State and Co unty infonnation mu st be the State and County where th e doc ument s igner(s) persona ll y appeared before th e nota ty pub lic for acknow ledgment. • Dat e ofnota1ization mu st be the date that th e sign er(s) personall y appeared which mu st a lso be th e sa me date th e acknow ledgment is comp leted. • The notaty publi c mu st p1int h is or her name as it appears within hi s or her commi ss ion followed by a comma and th en yo ur titl e (notary public). • Print th e name(s) of do cum ent sign er(s) who perso na ll y appea r al th e tim e of notari za tion . • Indica te th e coll"ec l s ingular or plu ra l form s by cross ing off incmTect fo nn s (i.e. h€/she/they, is /are) or circ lin g th e co11"ecl fonns. Fai lure to CO!Tectly indicate this infonn alion may lead to rej ect ion of document recordin g . • The nota1y sea l impress ion mu st be clear and ph otogra phically reprodu cibl e. Impress ion mu st not cover tex t or lines. If sea l im press ion smudges, re -sea l if a suffi cient area ptmllits, othe1wise co mpl ete a different acknowledgment fonn. • Signature of th e notmy public mu st match th e signature on fi le wit h th e offi ce of th e co unty c lerk. •:• Additional infonnati on is not required but co uld help lo ensure this acknowledgment is not mi suse d or attached to a different do c ument. •:• Indi ca te titl e or type of attached doc um ent , number of pages and date. •!• Indi ca te th e capa city c laim ed by the signer. If th e claimed ca pa ci ty is a co qmra te officer, indi ca te th e t itl e (i.e . CEO , CFO , Secretmy). • Sec ure ly attach th is do cument lo th e s ign ed doc um ent w it h a sta ple. EXHIBIT 'A' LEGAL DESCRIPTION STREET DEDICATION BEING A 25 .00-FOOT-WIDE STRIP OF LAND SITUATE IN THE CITY OF CUPERTINO , COUNTY OF SANTA CLARA , STATE OF CALIFORNIA , BEING A PORTION OF LOT 73 , AS SAID LOT IS SHOWN UPON THAT CERTAIN MAP ENTITLED "MAP OF SUBDIVISION "A", MONTA VISTA, WHICH MAP WAS FILED FOR RECORD IN THE OFFICE OF THE RECORDER OF THE COUNTY OF SANTA CLARA , STATE OF CALIFORNIA , ON APRIL 11 , 1917 IN VOLUME "P" OF MAPS, PAGE 20, AND MORE PARTICULARLY DESCRIBED AS FOLLOWS: BEING THE SOUTHERN 25.00 FEET OF THE WESTERN 50.00 FEET OF SAID LOT 73 . THE SOUTHERN BOUNDARY OF SAID STRIP BEING THE CENTERLINE OF LOMITA AVENUE AS SAID AVENUE IS SHOWN ON SAID MAP. EXHIBIT "B" ATTACHED AND MADE A PART HEREOF. END OF DESCRIPTION Containing 1250 square feet , more or less. Prepared by Robert J. Craig , PLS 5418 on October 9, 2017 File No . C-17037 0 LEGEND ~~~-PROPERTY BOUNDARY ----LOT LINE ----CENTERLINE I·. i DEDICATION AREA (A) "P" -M-20 (B) 94-M-47 (C) 787-M-14 §QJ[85[))~V~S~ON 18ffeu°0 MON1'A V~Sl'A Dl[PBD = M = ;2(0) 10 S89 •59' 43"E (0 50.00' - C\J -...,. C\J ([) ...,. ..... (T) C\J 0) UJ 0 z ..... -C\J -...,. ~ (T) ([) 0) ..... ..... C\J UJ = 0 0 C\J ..... . 0 z ID <.D 0 LO I m <.D ..... ...-1 (T) I C!> CTl ID ZC\J "~~ (TJ N'I: z a. <( t.) 0 Cl j ,... j LOT 1 (C) PROPOSED 25'DEDICATION I I ('1:----,---f~l··Y ........ t?~!;l. :!;5.!;I .' 43" E 130 . 30 ' ;,;\ t-324 ._Z_4_'__ L '6' S89 •59' 4~-4LOMITA A VE (WIDTH VARIES) SCALE 50 (!) & @ FD. STREET MONUMENT @ & @ SET 8"SPIKE & TAG, "LS 5418" @ FD.3/4"IP PER (B) BEARS S16 •49•w 1.02 FEET DISTANT @ FD.3/4"IP PER(B)BEARS s13•34·w 1.19 FEET DISTANT (1) FD.3/4"IP PER (C) @ & @ SET 1/2"x 36"REBAR, CAPPED "LS 5418" (IQ) SET 1/2"x 36"REBAR, CAPPED "LS 5418" BEARS S44.54'E 2.82 FEET DISTANT @ SET 1/2"x 36"REBAR, CAPPED "LS 5418" BEARS SO "12' W 1. 50 FEET DISTANT EXHIBIT II B II PLAT TO ACCOMPANY LEGAL DESCRIPTION 1"=50' 100 ALL DISTANCES SHOWN ARE IN FEET AND DECIMALS THEREOF. ROBERT J. CRAIG LICENSED LAND SURVEYOR 966 ELSIE MAE DRIVE BOULDER CREEK. CA 95006 (831) 359-1750 (408) 884-3791 APN: 375-16-066 SCALE 1 "=50' JOB NO. C-17168 DATE JAN. 15, 2018 INDEX SANTA CLARA CO. C-17 168B .pro January 16 , 20 18 Closure Report Set description: STREET VACATION Area : 1 ,250 SQ FT 0 .03 ACRES Perimeter : 150 .00 FEET Closure : 0 .00 FEET Point# Direction Distance Northing Eastin~ 143 4 ,999 .9736 5 ,320 .7368 N0°12 '00 "E 25 .00 127 5 ,024.9736 5 ,320 .8241 S89°59 '43 "E 50 .00 126 5 ,024 .9694 5,370.8241 S0°12 '00 "W 25 .00 144 4 ,999 .9694 5 ,370.7368 N89°59'43 "W 50 .00 143 4 ,999 .9736 5 ,320 .7368 C-171688 .pro November 13, 201 7 Closure Report Set description : APN 375-16-066 AFTER DEDICATION Area : 9 ,671 SQ FT 0 .22 ACRES Perimeter : 486 .84 FEET Point# 127 128 129 126 1 27 Clos ure : 0.00 FEET Direction Distance Northing 5 ,024 .9736 N0°12 '00 "E 193 .42 5 ,218 .3924 S89°59 '43 "E 50.00 5 ,218 .3 883 S0°12 '00 "W 193 .42 5 ,0 24 .9694 N89°59 '43 "W 50 .00 5 ,024 .9736 Easting 5 ,320 .8241 5 ,321.4992 5 ,3 71 .4992 5 ,370 .8241 5 ,320 .8241