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B-2017-0174
NO FEE FOR RECORDING PURSUANT TO GOVERNMENT CODE SECTION 27383 When Recorded Mail To: City of Cupertino Community Development Department 10300 Torre Avenue Cupertino, CA 95014 Regina Alcomendras Santa Clara County - Clerk -Recorder 07/0S/2028 02:45 PM Titles: I Pages: 3 Fees: ®.00 Taxes: 0 Total: 0.00 11A WAM 11111 NOTICE OF CITY REQUIREMENT RESTRICTING USE OF SPACE IN THE ATTIC AkEA The undersigned, being the owner(s) of the property shown in the Santa Clara County Assessor's Roll and identified as A.P.N. 366-16-076 and addressed as 7559 Barnhart Place, Cupertino, CA 95014, hereby agree(s) that the attic area(s) not converted into second floor living area shallbe maintained as non -habitable space. At no time shall any arrangements for sleeping, living, eating,: or'cooking be installed in the attic without a permit. Additionally, the `attic cannot contain, plumbing, heating/ cooling or electrical or other wiring serving that space. 'In the,event that the attic space is converted to habitable space, a Two -Story Residential Permit must first be obtained through the City of Cupertino prior to building. permit issuance by the property owner(s) and his or her subsequent property owner(s). This declaration is binding on successors and assigns of the owner(s). PRO] TY OWNER(S)-. A Print Owner's Name 4 7 6A016 Date CITY AUTHORIZATION: Date A 1 CALIFORNIA� 1 PURPOSE , l � t ALL - r: P ,s� , E Cj CERTIFICATE F 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 ofa� -' } On j y 1 11 before me, J LLW N -,(9� ere insert name-andof the officer) personally appeared , who proved to me on the basis of satlsfect 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 cepacity(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 PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. JULIA KINS�T WITNESS myhand and official seal. MIST$ pubIIa o '' Mi Notary Pu li Signature (Notary Public Seal) ADDITIONAL OPTIONAL II�fORMA`If I®N INSTRUCTIONS FOR COMPLETING THIS FORM This form complies with current California statutes regarding notary'ivording and DESCRIPTION OF THE ATTACHED DOCUMENT ifneeded, should be completed and attached to the document. Acknowledgments from other states'may be completed for documents being sent to that state so long as the wording does not require the California notary to violate California notary. Uvy- d& law. (Title or description of attached document) o StateandCounty information must be I the State and County where the document Its I �a �. (L E � ; L— signer(s) personally appeared before the notary public for acknowledgment. (31 lY dGyJ (j� o Date of notarization must be the date that the signer(s) personally appeared which Title or description of attached document continued) u must also be the same date the acknowledgment is completed. . o The notary public must_ print his or her name as it appears within his or her Number of Pages Document Date- commission followed by a,comma and then your title (notary public). e Print the name(s) of document signer(s) who personally appear at the time of notarization. CAPACITY CLAIMED BY THE SIGNER e Indicate the correct singular or plural forms by crossing off incorrect forms (i.e. he/she/thea, is /are ) or circling the correct forms. Failure to correctly indicate this Individual (s) information may lead to rejection of document recording. ❑ Corporate Officer o The notary seal impression must be clear and photographically reproducible. Impression must not cover text or lines. If seal impression smudges re -seal if a (Title) sufficient area permits, otherwise complete a different acknowledgment form. ❑ Partner(s) © Signature of the notary public must match the signature on file with the office of the county clerk. ❑ Attorney -in -Fact Additional information is not required but could help to ensure this ❑ Trustee(s) acknowledgment is not misused or attached to a different document. Other e Indicate title or type! of attached document, number of pages and date. ❑ Indicate the capacity claimed by the signer. If the claimed capacity is a corporate officer, indicate the title (i.e. CEO, CFO, Secretary)... 2015 Version vwtw.NotaryClasses.com 800-873-9865 Securelyattacfi this document to the signed document with a staple. c �� .00 i � ; a. �• 4i-,. a � i 1' 1. I EI � N " sz psi �®\ L � c SFBayNo tiit°yar-om 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 mac$ Pik]zt C &'o CI,, On � ( �; before me, Sunni tz Singh, Notary Public, Date Name and Title of Officer personally appeared j Loci v �,, ` N\, KQ VI- V 2., --�-= (Name of Signer(s)) 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), `SUNITA'sINGN or the entity upon behalf of which the Notary Public - California person(s) acted, executed the instrument. mi. Santa Clara County z° Commission #,2171583 My Comm, i;xpites Nov 1;»,:2,020 I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is trueand correct. WITNESS my hand and official seal i 'Signature of Notary Public My Commission Expires: Nov 18, 2020 OPTIONAL:IN FORIDi ATION Title or Type of Document: Document Date: C,I` r Q N'C Number of Pages; \ Capacity of Signer: SFBayNo tiit°yar-om