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Annex 94-08 - 11593 Upland WayPlea-Serecord=wi.t1lhas* ,C.�t(v�, (Govt ^. Code ..SeCS' 66103)' COUNTY OF SANTA CLARA CALIFORNIA LOCAL AGENCY FORMATION COMMISSION County Government Center, East Wing 70 West Hedding Street San Jose, California 95110 (408) 299-4321 -7 12921540 FH ED rOR RECORD ZT REQUEST OF 951UI 16 Fli 3:48 0FFfC1!�L'PEC RDS SANITA t:Lx'. ;,a COUHTY CERTIFICATE OF COMPLETION I, Autumn H. Arias, the Executive Director of the Santa Clara County Local Agency Formation Commission, issue this Certificate of Completion pursuant to Sections 57200 and 57201 of the Government Code. I hereby certify that I have examined the Resolution for a change in organ ization/ �W§i✓9tMU attached hereto and have found this document to be in compliance with Section 56826 of the Government Code authorizing cities within the County of Santa Clara to assume authority over certain changes in government organization. The name of the City is: CUPERTINO The entire City is located in Santa Clara County. The change of organization completed is an ANNEXATION A map and description of the boundaries of the change of organization is appended hereto. The title of this proceeding is: UPLAND WAY 94-08 (uninhabited). The change of organization was ordered subject to the following terms and conditions: NONE The date of adoption of the City Resolution ordering the change of organization is May 15, 1995 Dated:_ Autumn H. Arias, Executive Director Santa Clara County Local Agency Formation Commission Attachments: City Resolution Legal Description Map THIS IE: TO CERTIFY TH.<.T _ II -":THIN INSTRUMENT IS ATFPUE AND CORRECT COPY OF THE ORIGINAL ON FILE IN THIS OFFICE. ATTEST7. 3 191= CITY CLER F THE CITY OF CUPERTINO 6Y CITY CLERK RESOLUTION NO. 9335 A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF CUPERTINO MAKING DETERMINATIONS AND APPROVING THE ANNEXATION OF TERRITORY DESIGNATED "UPLAND WAY 94-ff , APPROXIMATELY 0.91 ACRE LOCATED ON THE WEST SIDE OF UPLAND WAY BETWEEN RAINBOW DRIVE AND BUBB ROAD; WOOLEY (APN 366-03-009) WHEREAS, a petition for the annexation of certain territory to the City of Cupertino in the County of Santa Clara consisting of 0.91 acre on the west side of Upland Way (APN 366-03-009) has been filed by property owners Rodger and Ronamae Wooley; and WHEREAS, on April 17, 1995, the City Council adopted resolution No. 9319 initiating proceedings for annexation of the area designated "Upland Way 94-08; and WHEREAS, said territory is uninhabited and all owners of land included in the proposal consent to this annexation; and WHEREAS, Section 35150.5 of the California Government Code states that the Local Agency Formation Commission shall not have any authority to review an annexation to any City in Santa Clara County of unincorporated territory which is within the urban service area of the city of the annexation if initiated by resolution of the legislative body and therefore the City Council of the City of Cupertino is now the conducting authority for said annexation; and WHEREAS, Government Code Section 56837 provides that if a petition for annexation is signed by all owners of land within the affected territory the City Council may approve or disapprove the annexation without public hearing; and WHEREAS, evidence was presented to the City Council; NOW, THEREFORE, BE IT RESOLVED by the City Council of the City of Cupertino as follows: Resolution No. 9335 i 1. That it is the conducting authority pursuant to Section 35150.5 of the Government Code for theannexation of property designated "Upland Way 94-08", more particularly described in Exhibit "A"; 2. That the following findings are made by the City Council of the City of Cupertino: a. That said territory is uninhabited and comprises approximately 0.91 acre. b. That the annexation is consistent with the orderly annexation of territory with the City's urban service area and is consistent with the City policy of annexing when providing City services. C. The City Council has completed an initial study and has found that the annexation of said territory has no significant impact on the environment, and previously approved the granting of a Negative Declaration. d. The City Council on September 8, 1981, enacted an ordinance prezoning the subject territory to City of Cupertino RHS zone. e. Annexation to the City of Cupertino will affect no changes in special districts. f. That the territory is within the city urban service area as adopted by the Local Agency Formation Commission. g. That the annexation is made subject to no terms and conditions. h. That the County Surveyor has determined the boundaries of the proposed annexation to be definite and certain, and in compliance with the Commission's road annexation policies. The City shall reimburse the County for actual costs incurred by the County Surveyor in making this determination. i. That the proposed annexation does not create islands or areas in which it would be difficult to provide municipal services. j. That the proposed annexation does not split line of assessment of ownership. k. That the proposed annexation is consistent with the City's General Plan. 2 RESOLUTION NO. 9335 A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF CUPERTINO MAKING DETERMINATIONS AND APPROVING THE ANNEXATION OF TERRITORY DESIGNATED "UPLAND WAY 94-08" , APPROXIMATELY 0.91 ACRE LOCATED ON THE WEST SIDE OF UPLAND WAY BETWEEN RAINBOW DRIVE AND BUBB ROAD; WOOLEY (APN 366-03-009) WHEREAS, a petition for the annexation of certain territory to the City of Cupertino in the County of Santa Clara consisting of 0.91 acre on the west side of Upland Way (APN 366-03-009) has been filed by property owners Rodger and Ronamae Wooley; and WHEREAS, on April 17, 1995, the City Council adopted resolution No. 9319 initiating proceedings for annexation of the area designated "Upland Way 94-08; and WHEREAS, said territory is uninhabited and, all owners of land included in the proposal consent to this annexation; and WHEREAS, Section 35150.5 of the California Government Code states that the Local Agency Formation Commission shall not have any authority to review an annexation to any City in Santa Clara County of unincorporated territory which is within the urban service area of the city of the annexation if initiated by resolution of the legislative body and therefore the City Council of the City of Cupertino is now the conducting authority for said annexation; and WHEREAS, Government Code Section 56837 provides that if a petition for annexation is signed by all owners of land within the affected territory the City Council may approve or disapprove the annexation without public hearing; and WHEREAS, evidence was presented to the City Council; NOW, THEREFORE, BE IT RESOLVED by the City Council of the City of Cupertino as follows: Resolution No. 9335 1. That the City has complied with all conditions imposed by the commission for inclusion of the territory in the City's urban service area. M. That the territory to be annexed is contiguous to existing City limits under provisions of the Government Code. 3. That said annexation is hereby ordered without election pursuant to Section 35151 et seq. of the Government Code. 4. That the Clerk of the City Council of the City of Cupertino is directed to give notice of said annexation as prescribed by law. PASSED AND ADOPTED at a regular meeting of the City Council of the City of Cupertino this 15th day of May, 1995 by the following vote: Vote Members dthe Cly Council AYES: Bautista, Burnett, Koppel, Sorensen, Dean NOES: None ABSENT: None ABSTAIN: None ATTEST: ls/ Kimberly Smith City Clerk resoluti/wooley.doc APPROVED: /s/ Wally Dean Mayor, City of Cupertino 3 County of Santa Clara Environmental Resources Agency Building Inspection/Land Development Engineering and Surveying County Government Center, East Wing 70 West Hedding Street, 7th Floor San Jose, California 951 10 Bldg. Inspec. (408) 299-2351 Land Devel. 299-2871 FAX 279-8537 March 29, 1995 Kim Smith, City Clerk City of Cupertino P. O. Box 580 Cupertino, CA 95015 The attached map and description dated January, 1995 of territory proposed for annexation to the City of Cupertino entitled UPLAND WAY 94-08 is in accordance with Government Code Section 56826. The boundaries of said territory are definite and certain. The proposal is in compliance with the Local Agency Formation Commission's road annexation policies. (NOTE: The property consists of 0.91 acres, more or less. The letter that was submitted requesting this certification letter stated the acreage at 0.30 acres, more or less.) Martin D. Marcott County Surveyor Attachment cc: LAFCO Executive Officer (w/attachment) Board of Supervisors: Michael M. Honda, Blanca Alvarado, Ron Gonzales, James T. Beall Jr., Dianne McKenna County Executive: Richard Wittenberg 4) "EXHIBIT A" ANNEXATION TO THE CITY OF CUPERTINO UPLAND WAY 94-08 JAN 1995 All that certain real property situate in the County of Santa Clara, State of California, more particularly described as follows: All of Lot 4, as shown upon that certain Map entitled, "MARQUETTE HEIGHTS SUBDIVISION, Tract No. 492" , which Map was filed for record in the office of the Recorder of the County of Santa Clara, State of California on March 22, 1948 in Book 18 of Maps , at Pages 4 and 5, and more particularly described as follows: Beginning at the southwest corner of Lot 4 as shown upon said map "MARQUETTE HEIGHTS SUBDIVISION"; Thence NORTH, 116.00 feet along that certain annexation to the City of Cupertino entitled, "BUBB NO. 2" to the northwest corner of Lot 4 as shown upon said map; Thence EAST, 340.00 feet to the northeast corner of Lot 4, said point also being along that certain annexation to the City of Cupertino entitled, "UPLAND WAY 86-02"; Thence SOUTH, 116.00 feet along said annexation "UPLAND WAY 86-02", and the westerly boundary line of Upland Way as shown upon said map "MARQUETTE HEIGHTS SUBDIVISION" to the southeast corner of Lot 4; Thence WEST, 340.00 feet to the Point of Begins ing. Containing: 39,440 square feet, more or less. 0.91 acres, more or less. A.P.N. :366-03-009 mommom";, m (� C(A D � r WZ Z m Zz O o o X II' N D O NORTH 116.00' 19o° -Yc, D O T o" O cn Q w \ '.O Cj) q c^ czi o -Ni \ n `o: -�, � o > o cFS F FSC w� �_i �o ti o o Ln \c�o o0 9yo�S, oo r \ I s ) O (j' O Co Z M 116.00' - �� - UPLAND WAY - m m O �M- BUBB RD ��� —{ O D vx-i Z fel z :j z mD D 0C7cn D Z cn C-�Cm �m y z 00 D? � O D m N D -qZ ~d 5 D onM cn r- C X M m -D D y J -th, M I �o STELLING RD. O o 0 mommom";, m (� C(A D � r WZ Z m Zz O o o X II' N D O NORTH 116.00' 19o° -Yc, D O T o" O cn Q w \ '.O Cj) q c^ czi o -Ni \ n `o: -�, � o > o cFS F FSC w� �_i �o ti o o Ln \c�o o0 9yo�S, oo r \ I s ) O (j' O Co Z M 116.00' - �� - UPLAND WAY - -O m OLm'%- UPLAND WAY BUBB RD D vx-i z :j C) z C) D D Z y b �m y z 00 D? � m Cd �' d 0 ti 0 0 - r N O 4 OLm'%- UPLAND WAY BUBB RD 3 0 y b Z y z z � m Cd �' d 0 a z z STELLING RD. `7� � z o z A w4w RESOLUTION NO. 9319 A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF CUPERTINO SETTING DATE FOR CONSIDERATION OF ANNEXING AREA DESIGNATED "UPLAND WAY 94-08"9 PROPERTY LOCATED ON THE WEST SIDE OF UPLAND WAY BETWEEN RAINBOW DRIVE AND BUBB ROAD; APPROXIMATELY 0.91 ACRE, WOOLEY (APN 366-03-009) WHEREAS, the City Council of the City of Cupertino has received a request for annexation of territory designated "Upland Way 94-08" from property owners, Rodger and Ronamae Wooley; and WHEREAS, the property, 0.91+ acre on the west side of Upland Way between Rainbow Drive and Bubb Road (APN 366-03-009) is contiguous to the City of Cupertino and is within its urban service area; and WHEREAS, annexation would provide for use of City services; and WHEREAS, this territory is uninhabited and was prezoned on September 8, 1981, to City of Cupertino RHS zone; and WHEREAS, the City of Cupertino, as Lead Agency for environmental review completed an initial study and granted a Negative Declaration for annexation; and WHEREAS, the County Surveyor of Santa Clara county has found the map and description (Exhibits "A" and "B") to be in accordance with Government Code Section 56826, the boundaries to be definite and certain, and the proposal to be in compliance with LAFCO's road annexation policies; and WHEREAS, the fee set by the County of Santa Clara to cover staff cost for above certification has been paid; and RESOLUTION NO. 9319 WHEREAS, as provided in Government Code Section 56826 the City Council of the City of Cupertino shall be conducting authority for a reorganization including an annexation to the City; and WHEREAS, Government Code Section 56837 provides that if a petition for annexation is signed by all owners of land within the affected territory the City Council may approve or disapprove the annexation without public hearing; NOW, THEREFORE, BE IT RESOLVED, that the City Council of the City of Cupertino hereby initiates annexation proceedings and will consider annexation of the territory designated "Upland Way 94-08" at their regular meeting of May 15, 1995. PASSED AND ADOPTED at a regular meeting of the City Council of the City of Cupertino this 17th day of April, 1995 by the following vote: Vote Members Qf the City Council AYES: Burnett, Koppel, Sorensen, Dean NOES: None ABSENT: Bautista ABSTAIN: None ATTEST: APPROVED: /s/ Kimberly Smith /s/ Wally Dean City Clerk Mayor, City of Cupertino annexati/res9319/res. N "EXHIBIT A" ANNEXATION TO THE CITY OF CUPERTINO UPLAND WAY 94-08 JAN 1995 All that certain real property situate in the County of Santa Clara, State of California, more particularly described as follows: All of Lot 4, as shown upon that certain Map entitled, "MARQUETTE HEIGHTS SUBDIVISION, Tract No. 492", which Map was filed for record in the office of the Recorder of the County of Santa Clara, State of California on March 22, 1948 in Book 18 of Maps , at Pages 4 and 5, and more particularly described as follows: Beginning at the southwest corner of Lot 4 as shown upon said map "MARQUETTE HEIGHTS SUBDIVISION"; Thence NORTH, 116.00 feet along that certain annexation to the City of Cupertino entitled, "BUBB NO. 2" to the northwest corner of Lot 4 as shown upon said map; Thence EAST, 340.00 feet to the northeast corner of Lot 4, said point also being along that certain annexation to the City of Cupertino entitled, "UPLAND WAY 86-02"; Thence SOUTH, 116.00 feet along said annexation "UPLAND WAY 86-02", and the westerly boundary line of Upland Way as shown upon said map "MARQUETTE HEIGHTS SUBDIVISION" to the southeast corner of Lot 4; Thence WEST, 340.00 feet to the Point of Beginning. Containing: 39,440 square feet, more or less. 0.91 acres, more or less. A.P.N. :366-03-009 o z ` o H > o� z a w z ,= 0 ad JNI'MIS d z v OQ 0 rn w �w R'• Ga X W L.LJa 5 p z z H Z U L)� r -i Z L, Q m o U) U) W QOM U Ems+ CfO (1. W W ►r-+ 0 F>- =)0) y C/DW o U Li Z Z O 1----1 0_ W -J a p Od eene �,VM GNV�dn 0 w I O 0_ F- Z w z0 �Ow ~ U O N W I I X00 Z LJ z< a� Z 0 �=Z V)Q x J w a- -44L �dMV M aN V d 1 --- .00'91 t \HlnOS O) w O zS' \N J N ~ .61 0� 0 0 0. o� ti� n o w o Z ���� NuD d \uo J M O W 0 x Obb b� yo 0 O 1/0 00'911 H1dON z O o: O < cv x I I z z Z � z C)m w �� J U-) m Q x U `'' U) ��iJity of Cupertino April 19, 1995 TO: ALL INTERESTED PARTIES ANNEXATION - "UPLAND WAY 94-08" City Hall 10300 Torre Avenue Cupertino, CA 94014-3202 Telephone: (408) 777-3223 FAX: (408) 777-3366 OFFICE OF THE CITY CLERK We are enclosing a copy of Resolution No. 9319 which describes the boundaries of the subject reorganization and sets April 3, 1995, as the date for consideration of annexing the area to the City of Cupertino. The resolution was passed and adopted by the City Council of the City of Cupertino on May 15, 1995. Council meets at 6:45 p.m., City Hall Council Chamber, 10300 Torre Avenue, Cupertino, California. All interested parties may attend and be heard. Sineeriy, OBERTA WOLFE DEPUTY CITY CLERK annexati/anexpart.doc Printed on Recycled Paper MIDPENINSULA REGIONAL OPEN SPACE DISTRICT 330 DISTEL CIRCLE LOS ALTOS CA 94022 CUPERTINO UNION SCHOOL DISTRICT 10301 VISTA DRIVE CUPERTINO CA 95014 FREMONT UNION HIGH SCHOOL DISTRICT 589 FREMONT ROAD SUNNYVALE CA 94086 o,. RODGER & RONAMAE WOOLEY 11593 UPLAND WAY CUPERTINO CA 95014 CUPERTINO SANITARY DISTRICT 20065 STEVENS CREEK BLVD CUPERTINO CA 95014 FOOTHILL COMMUNITY COLLEGE DIST. 12345 EL MONTE LOS ALTOS HILLS CA 94022 S.L�MVd ONIN1` V Id City ()I cup i-t.ill o May 18, 1995 Maxine Grace Deputy Clerk of the Board/LAFCO Clerk Santa Clara County Local Agency Formation Commission County Administration Building 70 West Hedding Street, l Oth Floor San Jose, CA 95110 ANNEXATION - "UPLAND WAY 94-08" City Hall 10300 Torre Avenue Cupertino, CA 94014-3202 Telephone: (408) 777-3223 FAX: (408) 777-3366 OFFICE OF THE CITY CLERK Resolution No. 9335 was adopted on May 15, 1995, for annexation of property to the city of Cupertino. Enclosed are six (6) certified copies of the resolution and the Statement of Boundary Change. Also enclosed are a warrant in the amount of $200 for you to forward to the State Board of Equalization for annexation fees, a check to you for $50 for final filing fees for the annexation, 2 copies of a map of limiting addresses and an alphabetical list of streets within the affected area. This territory will be taxed with others already in the City. Sincerely, ROBERTA WOLFE DEPUTY CITY CLERK PNII,"]nnIi,lcv, ri/P,IPri City of Cupertino 10300 Torre Avenue Cupertino, CA 95014 '??7-3354 (408) 252 -458a - PETITION for proceedings pursuant to the CORTESE-KNOX LOCAL GOVE NmENT REORGANIZATION ACT OF 1985 The undersigned hereby petition(s) the City Council of the City of Cupertino for approval of a proposed change of organization or reorganization, and stipulate(s) as follows: 1. This proposal is made pursuant to Part 3, Division 3, Title 5 of the California Government Code (commencing with Section 56000, Cortese -Knox Local Goverrnnent Reorganization Act of 1985). 2. The proposed change of organization is designated as: Upland 94-08 and consists of: X annexation to The City of Cupertino detachment from (name City/District) of .91 (number of) acres on the W (n/s/e/w) side of Upland Way (Street/Avenue) between Rainbow Drive (Street/Avenue) and Bubb Road (Street/Avenue) and (if applicable) _ annexation _ detachment of the same to/from (name City/District(s)) 3. A metes and bounds description of the exterior boundaries of the territory(ies) included in the proposal, marked Exhibit A, and a map of said territory(ies), marked Exhibit B, are attached to this petition and by this reference incorporated herein. . 4. The territory to be organized/reorganized is: inhabited. ("inhabited" = 12 or more registered voters) x uninhabited. 5. This proposal X is consistent with the Sphere of Influence is not of the affected city and district(s). 6. The reasons(s) for the proposed annexation (annexation,. detachment, reorganization, etc.) is/are: To procure City services Cupertino: Annexation Petition -2- 7. It is desired that the proposed change of organization or reorganization be made subject to the following terms and conditions: 8. The person (s) signing this petition has/have signed as (check one): X owner(s) of land within the affected territory. registered voter(s) within the affected territory. 9. The undersigned proponent(s) X do own 100% of the territory — do not proposed for change of organization or reorganization. Wherefore, petitioner(s) request(s) that proceedings be taken in accordance with the provisions of Section 56000 et seq. of the Government Code and herewith affix signature(s) as follows: CHIEF PETITIONERS (not to exceed three) Signatures of Petitioners (Please print) Assessor's Election name below Street Address Parcel or Precinct Date signature) City/State/Zip No.* No.** Phone: Is C? 3 t p..Gaeg, 4�1 3G G b 3 oc�� ► awerr�a�G o l fu0_ gSD/t/ Phone: Phone (_) _- * - For proposals involving uninhabited territory or for landowner -initiated proposals. ** - For proposals involving inhabited territory or for resident -voter initiated proposals. City of Cupertino 10300 Torre Avenue Cupertino, CA 95014 (408)Y252rA50Fx777-3354 SUPPLEMENTAL APPLICATION FOR MUNICIPAL AND/OR DISTRICT CHANGE OF OZATION OR REORGANIZATION OF TERRITORY This supplemental application must be completed in full and submitted with any petition to the City for a change of organization (annexation or detachment) or reorganization (multiple annexations and/or detachments) made pursuant to the Cortese -Knox Local Government Reorganization Act of 1985 (Government Code Sect. 56000 et seq.) PROPOSAL DESIGNATION: Upland 94-08 Annexation ) ) to/from The City of Cupertino R=MWIia8ttim) (City or Spec. District) ENVIRONMENTAL STATUS OF PROPOSAL X The City of Cupertino as Lead Agency for environmental review (Name of City/District) of the project, has already prezoned (prezoned? other approval action?) the territory on Sept 8, 1981 _, and in compliance with CEQA, has: (date) determined that the annexation is categorically exempt from provisions of CEQA pursuant to Cal.Adm.Code Sec. (cite class exemption section). x cxTleted an Initial Study and Negative Declaration for the annexation, a copy of which is attached to this application. completed a" Final EIR for the annexation, a copy of which is attached to this application. City of Cupertino City Council is to be Lead Agency for the environmental review of the project and the completed Environmental Information Form required by Planning staff is attached to this application. (Planning staff phone: (408) 252-4505.) Proposal is categorically exempt from provisions of CEQA pursuant to Cal. Adm. Code Sec. because [M:na:iTir��e� w • �.� :: 1. Number of acres 2. Number of inhabitants 3. Number of registered voters 39,440 sq. ft. 2 2 4. Number of dwelling units 1 5. a. What is the present use of the area (be brief, but specific): Single family dwelling b. Indicate the parcel numbers of those parcels, if any, which are under contract under provisions of the Williamson Act: none C. What steps, if any, have been taken or are proposed to be taken to release the above parcel(s) from the contract? 6. a. For city annexations what is the prezoning that has been applied by the city to the affected area (Note: Prezoning is a filing requirement for city annexations): �< b. Does the applicant intend to propose a change in this zoning if and when the territory is annexed to the City? YES_ NQ__k_ If YES, indicate the new zoning which will be sought. 7. For City or district annexations, describe the development being proposed for the territory, if any, and when this development is expected to begin. Currently this parcel is in Santa Clara County. We would like to divide this parcel into two lots. Zoned for single family house. 8. Do the boundaries of the subject territory conform to lines of assessment and ownership? YES X NO If NO, please explain the reason for non -conformity and provide justification for approving the boundary change as proposed: Suppl. Appl. -2- 9. Do the boundaries of any proposed city annexation create an island, corridor or strip of unincorporated territory? YES_ NO x If YES, answer the following questions: a. Nlmber of acres in the island, corridor or strip? (If more than one island is being created, indicate the acreage of each island.) b. Number of inhabitants? C. Assessed value? d. Land use and zoning in island, corridor or strip? e. Describe present and proposed sewer and water services in island: f. Does the proponent request waiver of restriction against creation of an island? YES . No If YES, explain why creation of an island is justified. 10. Is the territory proposed for annexation/detachment/reorganization in the City or District's urban service area: YES ) NO 11. If new development is proposed on the site, will this new development be permitted without community sewage discharging into an existing sanitary sewer system and disposal plant? YES NO x If YES, what arrangements will be made to provide sewage disposal? 12. Will the extension of sewerage and/or water services or the construc- tion of any public improvements to the affected territory be fin- anced by the formation of a special assessment district? YES NO x If YES, describe service(s) or improvement(s) and the average cost per resident/landowner of the district. Service/improvement: Cost: $_Jyr. for _ yrs. $_^/yr. for _ yrs. Supp. Appl. -3- 13. List all cities, special districts, (including school districts) and County Service Areas located within the area of this proposal. (Exclude Santa Clara County Water District, San Francisco Bay Area Air Pollution Control District, County Library Zone, and Water Inportation.) (Refer to County Tax Rate Code Book for this information): Cod)e-c no Ele-#v►enfary L s rJCt J la d �n !�isf( ct . HoqVjbcbon I bisfric}" Foothi I I Cc i Av n tv C6I Veae bisfr i c I 1ifi 14. Please provide the information requested below: a. Owners of land* within the proposed annexatoin/detachment/reor- ganization who consent to this proposal should show their consent by signing and printing or typing their names and addresses, with date, below. (Signatures not required if proposal is initiated by property -owner petition: put "see petition" below and type or print names, addresses, etc.) Assessor's parcel number, assessed land (not improvements) valuation, and, if 100% property -owner consent has been obtained, certification by City Clerk must be added prior to consideration. Hearing not required if 100% property owner consent is obtained. Assessed Signature Street Address/ Parcel Value of Date (Print name below) City/State/Zip Tel. No. No. Land y�icr.,,r�u/ tls93 Clp44 sa-9Gaz Renamo e Woot-e-y C" q Soty (If additional space required, continue list on separate sheet & attach.) * "Owner of land means any person shown as the owner of land on the last Equalized Assessment Roll; where such person is no longer the owner, then any person entitled to be shown as owner of land on the next Assessment Rall; where land is subject to a recorded written agreement of sale, any person shown therein as purchaser, and any public agency owning land." Government Code Section 56048. Supp. Appl. -4- 15. Print or type the name and address of officers or persons, not to exceed three in number, who are to receive copies of the Director of Commmity Development's Report and mailed Notice of Hearing (in addition to the Clerk/Administrator of each affected city or district): NOTE It �s a general LAFOO filing requirement that a copy of this application be filed with each school district shown on question #13 of this document if the proposal involves ultimate new residential development of five acres or more. It is the City's responsibility to submit this information to the appropriate school district(s) and the signature above is considered verification that this filing requirement has been met. a Street Address Name City/ State/ Zip (1) (2) (3) 16. I hereby certify that all LAFOO filing requirements will be met and that the statements made in this application are to the best of my knowledge accurate. Bert Viskovich 10300 Torre Avenue (Prin)/naA of person complete- Cupertino, CA 95014 ing 'o ( ess) l � (Si e) (balej NOTE It �s a general LAFOO filing requirement that a copy of this application be filed with each school district shown on question #13 of this document if the proposal involves ultimate new residential development of five acres or more. It is the City's responsibility to submit this information to the appropriate school district(s) and the signature above is considered verification that this filing requirement has been met. a CERTIFICATE OF CITY CLERK (Required for 100% Consent Proposal) I CERTIFY that I have checked the number of owners of property located within the annexation/detachment/reorganization proposed by this application and that the �2- (number) signatures above represent all of the owners of property included in this proposal. I FURIUM CERTIFY that, pursuant to Goverrmtent Code Section 56839, the City will make determinations on this proposal without noti or hearing. Date: 1- l8— y 6-i � -t/1, " City Clerk (Seal) City of Cupertino b. Owners of land within the proposed annexation/detachment/reor- ganization who do not consent to this proposal should be listed by name, address, parcel number and assessed land valuation below. Signatures and dates are not required. Hearing will be held for less -than -100% -consent applications. Street Address Street Address Name City/State/Zip Name City/State/Zip (If additional space required, continue list on separate sheet & attach.) C. FOR NOT -100% CONSENT PROPOSALS, list all registered voters residing inthe territory proposed for annexation/detachment/re- organization' if different from the landowners shown in 14a. and 14b. above. Street Address Street Address Name City/State/Zip Name City/State/Zip (If additional space required, continue list on separate sheet and attach.) Supp. Appl. -5-