E-910 Dedication in Fee for Roadway Purposes, 21865 San Fernando Ave, APN 357-15-043 SCCR 25288108u IT
RECORDING 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 27383
252881e8
Regina Qlcomendras
Sarita Clara County - Clerk-Recorder
04/22/2022 e8 e2 QM
Titles: 1 Pages : 7
Fees: $21.e)e
Taxes : $0
Total : $21.W1
(SPACE ABOVE THIS LINE FOR RECORDER'S USE)
DEDICATION IN FEE
FOR ROADWAY PURPOSES
21865 San Fernando Avenue, Cupertino, CA
APN 357-15-043
0 0riginal
0 Conformed Copy
DEDICATION IN FEE
FOR ROADWAY PURPOSES
21865 San Fernando Avenue, Cupertino, CA 95014
APN 357-15-043
David Tsai and Yiting Tsai, Trustees of tlie Tsai Family Revocable Trust dated October 18,
2017, dedicates in fee to the CITY OF CUPERTINO, a California mruiicipal corporation, for
priblic prirposes including, but not limited to roadway purposes, togetlier with tlie right to
construct, repair, operate, aiid maintain any and all public ritilities and improvements in, on,
iu'ider, along and across the real property whicl'i 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 Cupertino, Corinty of Saiita Clara, State of California.
IN WITNESS WHEREOF, executedthis a day of% J(;, / , 20 22,
Owners:
David Tsai
Trustee
Yiting Tsai
Trustee
City of Cupertino:
')!;'Ol t!=-' -;tJFlVla:rrlt7-. %Director of Public Works '
(Notary acknowledginent to be attached)
"NO FEE"
City of Cupertino
CERTIFICATE OF ACCEPTANCE is hereby given in order to comply with the provisions of
Section 27281 of the Government Code.
This is to certify that the interest in real property conveyed by the deed or grant
dated-b"i"l(M'7 1'7, 2AlZ- from David Tsai and Yiting Tsai, Trustees of the Tsai Family Revocable
Trust dated October 18, 2017 to the City of Cupertino, a municipal corporation, is hereby accepted by the
undersigned on behalf of the City Council of the City of Cupertino pursuant to authority conferred by
Resolution No. 11-175 of the City Council adopted on October 4, 2011, and the grantee consents to
recordation thereof by its duly authorized officer.
Dated:V/il/z,zzz
By:;€
EXHIBIT " A"
LEGAL DESCRIPTION FOR
STREET DEDICATION
21865 SAN FERNANDO AVENUE
CUPERTINO, CALIFORNIA
ALL THAT CERTAIN REAL PROPERTY SITUATED IN mE CITY OF CUPERTINO, COUNTY OF
SANTA CLARA, STATE OF CALIFORN]A MORE PARTICULARLY DESCRIBED AS FOLLOWS:
A PORTION OF SECTION 109, AS DELINEATED UPON THAT CERTAIN MAP ENTITLED "VIAP
OF SUBDMSION "A", MONTA V ISTA", FILED FOR RECORD IN THE OFF ICE OF THE
RF.CORDER OF THE COUNTY OF SANTA CLARA, STATE OF CALIFORNIA ON APRIL 11, 1917
IN VOL{JME "P" OF MAPS, AT PAGE 20, MORE PARTICULARLY DESCRIBED AS FOLLOWS:
BEGINNING AT A POINT ON THE CENTERLINE OF SAN FERNANDO AVENUE (40 FEET WIDE),
SAID POINT BEING DIST ANT 50.00 FEET EASTERLY FROM THE INTERSECTION OF THE
WESTERLY LINE OF SAID SECTION 109 WITH THE CENTERLINE OF SAID SAN FERNANDO
AVENUE;
THENCE ALONG SAID CENTERLINE, N. 90o00'00" E.., 50. 15 FEET TO A POINT ON THE EASTERIY
LINE OF SAID SECTION 109;
THENCE ALONG SAID LINE OF SECTION 109, N. OoOO'OO" E., 25.00 FEET TO A POINT, SAID
POINT BEING ON A LINE PARALLEL WITH AND DISTANT 25.00 FEET MEASURED AT RIGHT
ANGLES FROM SAID CENTERLINE OF SAN FERNANDO AVEN(JE;
'rHENCE ALONG SAID PARALLEL LTNE, S. 90o00'00" W., 50.15 FEET;
THF,NCE S. OoOO'OO" W., 25.00 FEET TO THE POINT OF BEGINNING.
CONTAINING 1,254 SQ.FT., MORE OR LESS.
SAID STREET DEDICATION IS SHOWN UPON THE PLAT ATTACHF.D HERETO AND MADE A
PART HEREOF.
12/20/21
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DOC.#20723279 S)I DOC.#23809407 I oO DOC.079531220
APN 357-45-095 o APN 357-75-043 a APN 357-75-042
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EXHIBIT 'B"
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STREET DEDICATION
21865 San Fernando Ave., Cupertino, CA
CIVIL ENGINEERS it
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1534 CAROB LANE
LOS ALTOS, CA 94024
rFE:Al_X': ((665500)) 994411,88075555
E-MAIL: SRAZAVI@
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COllntY Of ="-hc.l-iat'i-i.i. <; .'l(i_at L=
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which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.
State of California
County of Santa Clara
On A';'r" Ili 2022 before me, K'S'en SQuarC'a , Notary Public,
(Here insert name and title of the officer)
personally appeared Ma" MOrle)/
who proved to me on the basis of satisfactoiy evidence to be the person(s}whose name@ _is/are subscribed to
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"[;,.ffl, ,.,,.,,..-in i,,,c=:=g:gsy,pyr=-.x
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ADDITIONAL OPTIONAL INFORMATION
INSTRUCTIONS FOR COMPLETING THIS FORM
Any acjmowledgment completed in Calfirnia must contain verbiage exactly as
DESCRIPTION OF TaBE AaIITACHED DOC{_TMENT appears above in the notary secaon or a separate acknowiedgment form must be
properly completed and attached to that document. The only excepaon is if a
document is to be recorded outsrde of California. In such instances. any alternative
(Title or descriph'on ofattached dOcmneno aciaiowreagrnent verorage as may oe prmtea on such a aocument so rong as the
verbiage does not require the notary to do something that is rllegal _for a notary in
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notarization.
CAPACITY CLAIMED BY THE SIGNER a Indicate the correct Singular or plural fonns by crossing off incorrect fonns (i-a
€Individual(s) m/she/they,-is/as)orcirclingthecorrectfomis.Failuretoconectlyindicatethisinfonnation may lead to rejection of docuinent recording.
[] Corporate Officer ii The notary seal iinpression must be clear and photographically reproducible.
Impression must not cover text or lines. If seal iinpression smudges, re-seal if a
(Title) sufficient area pennits, otherwise complete a different acknowledgment fonn.
€ Partner(s) jl Signature of the notary public must inatch the signature on file with the office of
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