Encroachment'NQ -FEE FOR RECORDING PURSUANT
TO GOVERNMENT CODE SECTION
27383
en 11g®riled I�/llanll TSO
City of Cupertino
Community Development Department
10300 Torre Avenue
Cupertino, CA 95014
24134278
Regina Alcomendras
Santa Clara County — Zlterk-Recorder
03/14/2019 08:33 AM
Titles: I Pages: 3
Fees:0.00
Taxes: 0
Total: 10.00
HOLD HARMLESS AGREEMENT FOR ENQ ROACHMENT INTO BUILDING
building setback line along the front property line as delineated upon Farcel. 6:3 Ontfte: map, entitiecL
"Tract No. 1788, Springarden Unit No. 1" filed for record in the Office of the Recorder Of.the: County, of
Santa Clara, State .of California on April 9, 1957 because the project will comply
ofnplV With, the City of
Cupertino Municipal Code requirements after the construction under buildiTig permit no. B-2017-0231
r
is completed. In the event that the encroachment is challenged, the property 6wner(s), and his or her
successors in interest hereby agree(s) to hold the City of Cupertino harmless from any lawsuits and
damages relating to this encroachment.
PROPERTY OWNER(S)-.
O er's Signature Co-Ownor'.s Signature
f
L"A
Print Owner's Name Print Co -Owner's Name,
Date
CITY AUTHORIZATION:
Ell�e-n�Yau, Assot e'Planner
O
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which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.
State of California
County of
On g C'J V r y 9 12c (ybefore me, 1 r-� e Shu U _r �� G , Notary Public,
(Here insert name and title of the officer)
personally appeared ey
who proved to me on the basis of satisfactory evidence to be the person,(-,fwhose name(o is/are subscribed to
the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized
capacity), and that by his/her/their signature on the trument the person(', or the entity upon behalf of
which the person(4 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.
KIRSTEN SQUARCIA.. ,
Notary Public - California
WITNESS my hand and official seal. Z i Santa Clara.County a
# 2257322
Commission
My Comm. Expires Oct 4, 2022
Signature of Notary Public (Notary Seal)
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Any acknowledgment completed in California must contain verbiage exactly as
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a
C ALIIFORNIIA ALL-PURPOSE ACKNOWLEDGMEN7 CIVIL CODE § 1189
F
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 i
County of `> ti
On,16MLj&r�,ZZ, Z�I before me, LCLu� �Ja0Cj�, Hca T,
Date `J Here Insert Name and Title of the Officer
personally appeared �i--lam— W -e, Lkm(\
Name(s) of Signer(s)
who proved to me on the basis of satisfactory evidence to be thee�,ln(s) whose am :,(s Aare subscribed
to the within instrument and acknowledged to me tha h /she/they executed the same 31�/herftheir
authorized ap�a: tty(ies), and that by his/her/the r signatur s) on the instrument the � PPSOr1Is), or the entity
upon behalf of vvhich the erso (s) acted, execute t e instrument.
eMy
LAUREN SAMAR
Notary Public- California Santa Clara County
Commission # 2247155
Comma Expires. Jun 22,2022
dF 0 1
1,2022'
Place Notary Seal and/or Stamp Above
I certify under PENALTY OF PERJURY under the
laws of the State of California that the foregoing
paragraph is true and correct.
WITNESS my hand .and official seal.
Signature
Signature of Notary Public
WN—MMM-27-1— WM M
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02017 National Notary Association
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❑ Partner — ❑ Limited ❑ General
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❑ Trustee ❑ Guardian of Conservator
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