E-829 Dedication in Fee for Roadway Purposes, 10181 Empire Ave, APN 326-24-049RECORDING REQUESTED BY:
City of Cupertino
WHEN RECORDED, MAIL TO:
City Clerk's Office
City of Cupertino
10300 Torre Avenue
Cupertino, CA 95014-3255
DOCUMENT: 23309617
II II Ill U 11111111 II II
REGINA ALCOMENDRAS
SANTA CLARA COUNTY RECORDER
Recorded at the request of
City
Pages: 7
Fees .... * No Fees
Taxes ...
Copies . . ___ _
AMT PAID
ROE ** 001
5/19/2016
11: 32 AM
(SPACE ABOVE THIS LINE FOR RECORDER'S USE)
NO FEE IN ACCORDANCE
WITH GOV. CODE 27381
DEDICATION IN FEE
FOR ROADWAY PURPOSES
10181 Empire Avenue, Cupertino, CA 95014
APN 326-24-049
)1 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 May 3, 2016, from
10181 Empire 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: May 3, 2016
By: of~Jb+
Lauren Sapudar·
Senior Office Assistant
DEDICATION IN FEE
FOR ROADWAY PURPOSES
10181 Empire A venue
APN 326-24-049
Dianli Chen and Cuiying Zhong, husband and wife, 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 property 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
Cupertino, County of Santa Clara, State of California.
IN WITNESS WHEREOF, executed this 3rd day of May, 2016.
City of Cupertino:
Ti1mn Borden, PE
Director of Public Works
(Notmy ackno wledgment to be attached)
Owner:
Dianli Chen
EXHIBIT "A"
LEGAL DESCRIPTION
FOR STREET DEDICATION PURPOSE
Portion of Lot 30, 31 and 32 in Block 5, as shown upon that certain Map entitled
"Map of Monta Vista First Addition ", 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
Book P of Maps at Page 23, and the northeasterly 5 feet of the southerly ~ of
Mission Way as said land is described in Parcel 1 of that certain resolution and
order proclaiming the abandonment of any interest in the County of Santa Clara
may have in Mission Way , which said instrument was recorded July 1, 1974 in
Book 0971 , Page 166, Official Records, more particularly described as follows:
Beginning at a point on the southwesterly line of Empire Avenue , said point being
the easterly corner for Lot 30 in Block 5 as shown upon said map; Running
thence along said southwesterly line of Empire Avenue, North 24 °50'00" West,
85 .00 feet to a point on the center line of Mission Way (abandoned); Thence
along said center line of Mission Way, South 65 °10 '00 " West , 5.00 feet ; Thence
parallel to said southwesterly line of Empire Avenue, South 24°50 '00" East , 85.00
feet to a point on the southeasterly line of Lot 30 , Thence along said
southeasterly line of Lot 30 , North 65 °10 '00" East , 5.00 feet to the POINT OF
BEGINNING .
Containing an area of 425 square feet, more or less .
The land described hereon is shown on the attached plat , Exhibit "B ", and is by
reference, made a part thereof.
End of description .
Date
~~
~
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1
!
--------_._._L:::.L /_ -:L -~ -·--I
-N.24'50'00"W . 85.00' ' -------J ~ = --I -1
-~ 5' RIGHT OF WAY DEDICATION - - ---~ -
AREA=4 25.0 SF± ~
AVENUE -------EMPIRE ---
---------------------
LE GEND :
P.O.B. POINT OF BEGINNING
- - - -PROPERTY LINE
-- --OLD PROPERTY LINE
- - -CEN TER LINE
-- -EASEMENT LINE
EXHIBIT "B"
10181 EMPIRE A VENUE
CUPERTINO , CA
BASIS OF BEARINGS:
------------
SCA LE: 1 "=30'
JULY 20, 2013
THE BEARING, N.24'50'00"W . OF THE RIGHT OF WAY
LINE OF EMPIRE AVENUE, AS SHOWN ON THAT
CERTAIN MAP FILED IN THE OFFICE OF THE RECORDER
OF SA NTA CLARA COUNTY, STATE OF CALIFORNIA, IN
BO OK P OF MA PS AT PAGE 23, WAS USED AS THE
BASIS OF BEARINGS SHOWN ON THIS MAP.
------
WEC 2625 MIDDLEFIELD RD #658 TEL: ( 650) 823-6466
& ASSOCIATES PALO ALTO , CA 94306 FAX: (650) 887-1294
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 ~ ~ ~ }
On t\~ 3 , kQ I(.. before me, -J~r A Na
personally appeared bt'o--11 l ; G-h.-4' ~ C.LA-t '( ·, v'\j 2--Vtlfb ~
who proved to me on the basis of satisfactory evidence to be the person @N ~se
name@ i ar subscribed to the within instrument and acknowledged to me that
he/she e xecuted the same in his/her/their authorized capacity ~ and that by
his/he e· signatur~on the instrument the person(s), or the entity upon behalf of
which the perso @ cted , 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.
JULIA KINST
WITNESS my hand and official seal.
~ Commission# 2002313
~ i • Notary Public -California ~
} ' Santa Clara County ~
•• "~ ;· •• Mz so~~· ;xeir!s ;ag t5}~1 ~E ' l0~ Notary~ature (Notary Public Seal)
INSTRUCTIONS FOR CO MPLETING THIS FORM
ADDITIONAL OPTIONAL INFORMATION This form co mplies with current California statllles regarding notmy wo rdin g and,
DESCRIPTION OF THE ATTACHED DOCUMENT
/DI 21 13rt-.1J t (t; Ave_, f'r(JN 3 2-1.P-~~~~~r ~~~~~~~~oz_
(Tille or descriplion of attached docu ment continued}
Number of Pages _l_ Document Dat ~/ 1AJ l Jo
CAPACITY CLAIMED BY THE SIGNER
~ Individual 0
0 Corporate Officer
(Title)
0 Partner(s )
O Attorney-in-Fact
o Trustee(s)
o Other----------
2015 Version www.NotaryC lasses .com 800-873-9865
if needed, should be completed and al/ached to the doc um ent. Acknowledgments
from other states may be completed for doc um ents being sent to that state so long
-as the wordi ng does 1101 require th e Ca liforn ia nolw)· to violate Ca lifornia 110/WJ'
!ml'.
• Sta te and County infonnation mu st be th e State and Co unty where the docu ment
signer(s) personally appeared before th e notary public for ackno wledgment.
• Date of notari za ti o n must be the date th at th e signer(s) personally appeared which
mu st a lso be th e sa me date th e acknow ledgment is co mpleted .
• The notaty public mu st print hi s or her name as it appears wi thin hi s or her
commission foll owed by a comma and th en yo ur title (notary public).
• Print the name(s) of docum ent signer(s) who personall y appear at the tim e of
notati zation.
• Indicate the coff ec t s in g ular or µImai fonn s by cross in g off incoffect fonns (i.e.
fie/she/they, is /are) or circling th e coffect fo nns. Fai lure to coITectly indicate thi s
infonnation may lead to rejection of document recording.
• The notaiy sea l im pression must be clear an d photographically re producibl e.
Im pression must not cover tex t or line s . If sea l impress ion sm udges, re -sea l if a
sufficient area pennits, othe1wi se complete a different acknowledgment fonn.
• Signature of the no taiy p ubli c must match th e s ignature on file with the office of
th e co un ty clerk.
•!• Add iti ona l infonnation is not required but could help to ens ure thi s
acknow ledgment is not mi s use d or attached to a different docum ent.
•:• Indi cate titl e or type of attached doc um ent , number of pages and date.
•!• In d ica te th e capacity c laimed by th e signer. If the claimed capacity is a
coqiorate officer, indicate the titl e (i.e. CEO, CFO , Secreta1y).
• Sec ure ly attach thi s docu ment to th e s igned do cum en t w ith a staple .
CALIFORNIA ALL-PURPOSE
CERTIFICATE OF ACKNOWLEDGMENT
A nota ry public or other officer completing this cert ificate 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 Californ ia }
County of_~S~~-~~~~~~-}
M,aµ/3, '/--Of/t? before me , ,I lA.t....1c.. CL t N'SI. N~ 0i ' (Here rnsert name and trtl e of th e om cr)
On
personally appeared I\ W\. VV\ ~d t-V\
who proved to me on the bas is of satisfactory evidence to be the person (yj whose
name(1) is/a r/;; subscribed to the within instrument and acknowledged to me that
he/s ~e/t ~y executed the same in h i s/~er/th€ir authorized capac ity(i E%), and that by
his/he//t h'7'1 r signature ~) on the instr ument the person rs), o r the ent ity upon behalf of
which the person ~) acted , executed t he instrumen t.
I certify under PENAL TY OF PERJURY under the laws of the State of California that
the foregoing paragraph is t rue and cor rect. --------------J@ JULIA KIN ST f' J .... : . Commission# 2002313 It
~ . •a · • Notary Public -California ~
z "' . Santa Clara County ~ t ; ~ ·;· • ,Mr so ~ni · ix~r ;s ;a2 ~s}i11 l
WI T NESS my hand and official seal.
(Notary P u b lic Seal) --~
INSTRUCTIONS FOR COMPLETING nns FORM
ADDITIONAL OPTIONAL INFORMATION This form co mplies with current Ca lifornia statut es regarding notmy wording and,
DE SC RIPTI ON OF THE ATT AC HED DOCUM ENT
~ ~ fu_ {--.,..,,.. li'tn J H l/'lJ l if' ~lX.LD kP N ?:ir~ -2 .. :q: o -i---'i''"'
(Ti o~ attached document)
(Tiu !~ ;es~~ption :T!tf e~m ~nued)
Number of Pages _J_ Document Date 6 / -3 /I k?
CAPACITY CLAIMED BY THE SIGNER
ij_ Individual (~
D Co rpo rate 6°fficer
(T itl e)
D Partn e r(s)
D Attorney -in -Fact
o Tr ustee(s)
D Oth e r~~~~~~~~~~~
2015 Version www.NotaryClasses.com 800-873-9865
if needed, should be co mpleted and attached to th e document. Acknowledgments
from oth er states may be completed for documents being se nt to that state so long
as th e wording does 1101 require the Californ ia nolmJ to violate Ca lifornia 110/m)'
law.
• State and County infonnation must be th e Sta te and County where the d oc um ent
signer(s) personaUy appeared before the nota ry public for acknowledgment.
• Date o f no taii za ti on must be th e date that th e s igner(s) personally appeared which
mu st also be th e sa me date th e acknowledgment is co mpl eted .
• The notary pub lic mu st print hi s or her nam e as it appears within hi s or her
co mmi ss ion fo ll owed by a comma and th en yo ur tit le (notary pub lic).
• Print th e name(s) of do cum ent s igner(s) who persona ll y appear at th e time of
notarization.
• Ind icate th e correct singula r or plura l fonns by crossi ng off incorrec t fonn s (i.e .
fie/she/they, is /are ) or circling th e correct fonns . Failure to correc tly indi ca te thi s
infonnation may lea d to rejection o f doc ument recording .
• The notaiy sea l impress ion mu st be clear and photogra phically reproducible.
Impress ion mu st not cover tex t or lines. lf sea l impression smudges, re-sea l if a
sufficient area pennits , otherwise com p lete a different ackn owledgm ent fo nn .
• Signature of th e notary public must match the signature on fil e with the office of
th e coun ty c lerk.
•:• Addi ti onal informati o n is not req uired but co uld help to ensure thi s
ac kn ow ledgment is not mi sused o r attac hed to a different doc um en t.
•:• Indica te tit le or type of attached document, number of pages and date .
•:• Indicate th e capacity claimed by th e s igner. If th e claim ed capacity is a
corp ora te officer, indi cate th e titl e (i.e . CEO , CFO, Secretaiy).
• Sec ure ly attach thi s docume nt to th e s ig ned document with a staple .