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D-541 Ouitclaim Deed and Authorization for Underground Water Rights, 10387 Avenida Ln, APN 342-45-040 DOCUMENT: 21629783 Pages: 7 RECORDING REQUESTED BY Fees. . . . * No Fees Taxes. . City of Cupertino II II I 1111111 111111 Copies. . AMT PAID WHEN RECORDED MAIL TO REGINA ALCOMENDRAS RDE # 010 City Clerk's Office SANTA CLARA COUNTY RECORDER 4/18/2012 City of Cupertino Recorded at the request of 2: 14 PM 10300 Tone Avenue City Cupertino, CA 95014-3255 (SPACE ABOVE THIS LINE FOR RECORDER'S USE) NO FEE IN ACCORDANCE WITH GOV. CODE 27281 QUITCLAIM DEED AND AUTHORIZATION FOR UNDERGROUND WATER RIGHTS 10387 Avenida Lane APN 342-45-040 Jizhang Shan and Dan Pan, husband and wife as Community Property with Right of Survivorship • Original 0 For Fast Endorsement "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 March 30, 2012, from 10387 Avenida Lane 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: April 3, 2012 By: Kirsten Squarcia Clerk Sr. Assistant QUITCLAIM DEED AND AUTHORIZATION FOR UNDERGROUND WATER RIGHTS APN 342-45-040 10387 Avenida Lane,Cupertino,CA 95014 Jizhan2 Shan and Dan Pan, husband and wife as Community Property with Right of Survivorship, hereinafter referred to as fill:, "GRANTOR", this 30- day of �V I ar�i�A , 2012, hereby grants, bargains, assigns, conveys, remises, releases and forever quitclaims unto the CITY OF CUPS RTINO, a municipal corporation, hereinafter referred to as the "GRANTEE", its successors and assigns, all the rights, titles, interests, estates, claims and demands, both at law and in equity, and as well in possession as in expectancy of the GRANTOR as owner of that certain real property situate in the County of Santa Clara, State of California,and specifically described as follows: SEE ATTACHED EXHIBIT"A" to pump, take or otherwise extract water from the underground basin or any underground strata in the Santa Clara Valley for beneficial use upon the lands overlying said underground basin, and GRANTOR hereby irrevocably authorized GRANTEE, its successors and assigns, on behalf of the GRANTOR and its successors in ownership of overlying lands in the said lot to take from said underground basin within the said lot any and all water which the owner or owners of said overlying lands may be entitled to take for beneficial use on said lands and to supply such water to such owner or owners or others as a public utility; provided, however, that nothing contained in this instrument shall be deemed to authorize GRANTEE to enter upon any of the lot delineated upon the above described legal description or to authorize GRANTEE to make any withdrawal of water which will result in damage to any building or structure erected upon said lot. This assignment, conveyance and authorization is made for the benefit lot within the above described legal description and shall bind the owner of said lot within said legal description. IN WITNESS WHEREOF, GRANTOR has executed this instrument the day and year first above written. OWNERS: , ----/ zhang Shan „76 ir ,(� Gan 'an CITY OF CUPERTINO: imm D. Borden,PE Director of Public Works (Acknowledgment and Notarial Seal Attached) EXHIBIT "A" THE LAND REFERRED TO HEREIN BELOW IS SITUATED IN THE CITY OF CUPERTINO, COUNTY OF SANTA CLARA, STATE OF CALIFORNIA,AND IS DESCRIBED AS FOLLOWS: Lot 38, as delineated upon that certain Map entitled, "Tract No. 6040", filed for record in the Office of the Recorder of the County of Santa Clara, State of California, on August 12, 1977 in Book 402 of Maps, at Page(s) 1-5. APN: 342-45-040 ii CALIFORNIA ALL-PURPOSE CERTIFICATE OF ACKNOWLEDGMENT it State of California County of Sa4'vi CAaAs..-- On POaAcii, 30 O I). before me, -64. l k - Patti t v1-01z ( (4):).C,' (Here insert name and title of are-)fYi erl personally appeared 71 -Ef AN c-- °Sr1 A`+., A-c D Jr,A Ni PA N who proved to me on the basis of satisfactory evidence to be the person°whose name() Mare subscribed to the within instrument and acknowledged to me that /they executed the same in hitoiritheir authorized capacity ems., and that by�ftheir stanature0 on lie instrument the person, or the entity upon behalf of which the persort)) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. v, DAKSHA K.PATEL ;N.' COMM.#1849622 -1 WITNESS my hand and official St NOTARY PUBLIC- SANTA CLARA COUNTY NIA My Comm.Expires May 17,2013 iv __�_,___ - Notary Seal) Signature of Notary Public ADDITIONAL OPTIONAL INFORMATION ;. INSTRUCTIONS FOR COMPLETING THIS FORM Any acknowledgment corn/!Ieted Ill Gnlf:enter must ca+rtau, verbiage. c:rrd:v as DESCRIPTION OF THE ATTACHED DOCL1MEN I :appears above in the 0010f3 section or a separetic aciah ,lodgment form must be properly completed ,aid attached to thew dorttmcnr. The un/r tar prior. is it it 1,11 l C l'ci g 6 ,t7 Z«hoh da.-eunestr it to be recorded orded r uteide of C cnifar,,ia In such iots Inc c',any a/err itt,�r Lj r dire, 1J ct<knat,to dgment yertnagc err may he/tr noted Oh sot It a document so fang as the tTitle or description of attached document) erhiaa dues not t<c/uire the nur.trr 10 do Svrrt tnnrg that IN illegal ion a nutaa t tr, � � � ��� w ti k� clYarntt (o ,rtrrr the authorized capacity if.,ie stkn I P. tiehec k;ie . d, uncut,u,c,t'1,f.. notarial wording and a±acl hu,un„/required lcordcr'1 tt attache(' continued) e State and County information must be the State and County where the document Number of Pages _3 __ Document Dale _ signer(s)personally appeared before the notary public for acknowledgment. A Date of notarization must be the date that the sigticri,$)personally appeared witcclt _-----_ must also be the same date the acknowledgment is cortpleted- (Additional information) . The notary public must print his or h er name as it appears w Ihiu his or her com,nv sion hollowed by a comma and tl en'tom title(notify iaufmii ). d Print the name(st of document signers) .alto personally appear t the tints ot notarization CAPACITY CLAIMED BY THE SIGNER • Indicate the coot ct singular or plural tonne,by crossingoff incorrect forms it e:. holshetl3',>i is date/or eroding the correct forms.failure to correctly-indicate this , r Individual sinformation may lead to rejection of document recording- Corporate Officer • The notary seal impression must be clear and photographically icproduciole. ii a Impression must not cover test or lines. If seal impression smudges.re-seal if a a (Title) sufficient area permits,otherwise complete a different acknowledgment totem. Signature of the notary public must match the imature on file with the mole,of IT Partner(s} the county clerk Li Attorney-in-fact Additional information is not required but could help to eniauc this -i Trustee(sl, acknowtedeuicnt is not misused or attached to a different doe uncut Indicate title or type of attached document,number of pages and die_ ❑ Other __-- :> claimed capacity is a Indicate the capacity claimed by the signer_ It the claim e p corporate officer,indicate the title(i.e CEO,Cl 0,Secretary). • Securely attach this documcni to 5113 signed document 2008 Version CAPA VI2.I0.07 800-873-9865 v,issi Notan{'lasscs.com CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California County of Sa-g URr-cf On /lia-.c; 3 o, 2-'' Mbefore me, A-e� e c sc�ya/cik ,V- j4- P✓6 h C, Date Here Insert Name end Title of the O icer personally appeared 7-i M M % • /3 0, o' t Names) of Signer(s) who proved to me on the basis of satisfa tory evidence to be the personKwhose nameWg"are subscribed to the within instrument and acknow edged to me that she/they executed the same in er/their authorized capaciwo, and that by i /her/their signatureX on the instrument the personK, or the entity upon behalf of which the persona) acted, executed the instrument. I certify under PENALTY OF PERJURY under the KIRSTEN RENEE SQUARCIA laws of the State of California that the foregoing Commission # 1906898 z paragraph is true and correct. _ . Notary Public - California Z. Z Santa Clara County My Comm Expires Oct 4. 2014+ WITNESS my hand and official seal. Signature: 41-1co Place Notary Seal Above Signature of Notary Pla6lic OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document 03 g 7 14veh; of 1 �a �t e LPN 317 -�1.f = 0 �o Title or Type of Document: Q;Ad, UX� Z+f-.�,Z-. Document Date: 1111-",r'-'4 TK ,, 20 t 2- Number of Pages: 3 Signer(s) Other Than Named Above: J-t z Capacity(ies) Claimed by Signer(s) Signer's Name: ❑ Corporate Officer— Title(s): ❑ Individual ❑ Partner — ❑ Limited ❑ General Top of thumb here ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: Signer's Name: ❑ Corporate Officer — Title(s): ❑ Individual ❑ Partner — ❑ Limited ❑ General Top of thumb here ❑ Attomey in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: 0 2009 National Notary Association - NationalNotary.org - 1-800-US NOTARY (1-800-876-6827) item #5901