HomeMy WebLinkAboutD-1862 10180 Los Osis Valley Road, APN 067-241-024 Recorded 05/21/20100.
RECORDING REQUESTED BY
AND WHEN RECORDED MAIL TO:
City Clerk's Office
CITY OF SAN LUIS OBISPO
990 Palm Street
San Luis Obispo, CA 93401
JULIE RQDEWAL
San Luis Obispo Countblerk/Recorder
Recorded at the request of
Public
AZ
5121.12010
9:49 AM
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� 0 c # : 2010023616 Titles: 1 Pages: 21
Fees 0.00
Taxes 0.00
Others 0.00
PAID $0.00
This document is recorded for the benefit of the City of San Luis Obispo, A Municipal
Corporation, and is exempt from fee per Government Code Sections 27383:
OPEN SPACE AND AGRICULTURAL
CONSERVATION EASEMENT AGREEMENT
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OPEN SPACE AND AGRICULTURAL
CONSERVATION EASEMENT AGREEMENT
(NO RECORDING FEE -- EXEMPT)
This Open Space and Agricultural Conservation Easement Agreement, is made
and entered into this 12th day of May, 2010, by and between IRISH HILLS PLAZA
WEST, LLC, a California corporation, hereinafter called "Owner ", and the CITY OF
SAN LUIS OBISPO, a municipal corporation of the State of California, hereinafter called
"City".
WITNESSETH
WHEREAS, Owner owns certain property- (the "Subject Property ") situated
within the County of San Luis Obispo (the "County "), as described in Exhibit "A ",
attached hereto and incorporated herein, commonly known as 10180 Los Osos Valley
Road, San Luis Obispo (Assessors Parcel Number: 067 - 241 -024), and
WHEREAS, the Subject Property has certain agricultural resources, natural scenic
beauty and existing openness, and
WHEREAS, placement of an open space and agricultural conservation easement
on a portion of the Subject Property was required by the San Luis Obispo County Local
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Agency Formation Commission (LAFCo) pursuant to Condition of Approval No. 5 of
County Planning Commission Resolution No. 2004 -081 approving Conditional Use
Permit No. D0200760, which approved annexation of nearby land into the City of San
Luis Obispo, in order to meet specific conditions of annexation of farmland under the
policies of the LAFCo, and
WHEREAS, both Owner and City desire to preserve and conserve for the public
benefit. the natural scenic beauty and existing openness, natural condition and agricultural
use of the Subject Property, and
WHEREAS, the Owner has offered to dedicate this open space and agricultural
conservation easement to preserve the site's beauty and existing openness by restricting
Owner's use of and activities on the Subject Property through the imposition of a
perpetual open space and agricultural conservation easement with the terms and
conditions hereinafter set forth.
NOW THEREFORE, in consideration of the above recitals, and in further
consideration of the mutual promises, covenants and the conditions herein contained, the
parties agree as follows:
Owner hereby grants to City, an open space and agricultural conservation
easement (the "Easement ") over the portion of the Subject Property (the
"Easement Area ") described in Exhibit `B" attached hereto, depicted in
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Map Exhibit "C ", and incorporated herein. Said grant of an open space
and agricultural conservation easement conveys to City, an estate and
interest in the Subject Property. The purpose of the open space and
agricultural conservation easement is to allow continuation of prior
historical agricultural activities on the property, including grazing and
cultivation, and to otherwise restrict the use of the Subject Property as
hereinafter set forth.
2. The restrictions hereby imposed upon the use of the Easement Area by
Owner and the acts which Owner shall refrain from doing upon the
Easement Area are, and shall be, as follows:
a. The construction or placement of any building or other structure is
prohibited in the Easement Area, except structures and improvements to
be used solely for agricultural production on the Subject Property,
including equipment sheds, irrigation systems, fencing, and improvements
for agricultural production purposes and the sale of farm products
predominately grown or raised on the Subject Property. All such
structures and improvements, individually, and combined, must be
consistent with the provisions of this open space and agricultural
conservation easement and Public Resources Code § 10262. Any such
structures proposed to be built or placed within the Easement Area shall be
subject to the reasonable prior review and approval of the City.
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b. No residential dwellings may be constructed or placed in the Easement
Area.
c. No signs, billboards, or similar structures or devices or advertising of any
kind or nature may be located on or in the Easement Area..
d. No extraction of surface or subsurface natural resources (except water
resources) may be allowed in the Easement Area.
3. The Easement Area may be used for wetland and biological resource
mitigation banking. As used herein, mitigation banking means the
restoration, creation, enchantment and/or preservation of wetlands and/or
biological resources, for the purpose of providing compensation mitigation
as a result of impacts to similar resources.
4. Owner shall retain and reserve all water rights of any kind or nature on the
Subject Property, including the Easement Area.
5. The Subject Property may be subdivided, subject to obtaining all
necessary permits and approvals; however, notwithstanding any such
subdivision, the Easement Area shall not be reduced in size.
6. This Agreement shall remain in effect in perpetuity.
7. The terms and conditions contained herein shall be binding on the parties
hereto and their heirs, successors and assigns.
8. Owner retains the right to perform any act on the Subject Property,
including the Easement Area, not specifically prohibited or limited by this
Agreement. These ownership rights include, but are not limited to, the
right to exclude any member of the public from trespassing and the right
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to sell, lease, or otherwise transfer the Subject Property, including the
Easement Area, to anyone they choose.
9. Other than as specified herein, this Agreement is riot intended to impose
any legal or other responsibility on the City, or in any way to affect any
existing obligation of the Owner as owner of the Subject Property
including the Easement Area. Among other things, this shall apply to:
(a) Taxes -- The Owner shall be solely responsible for payment of all
taxes and assessments levied against the Subject Property including the
Easement Area. If the City ever pays any taxes or assessments on the
Subject Property or the Easement Area, or if the City pays levies on
Owner's interest in order to protect City's interests in the Subject Property
or the Easement Area, the Owner will reimburse the City for the same.
(b) Upkeep and Maintenance -- The Owner shall be solely responsible for
the upkeep and maintenance of the Subject Property including the
Easement Area, to the extent it may be required by law. The City shall
have no obligation for the upkeep or maintenance of the Subject Property
or the Easement Area.
(c) Liability and Indemnification — In view of City's negative rights,
limited access to the land, and lack of active involvement in the day -to-
day management activities on the Subject Property or the Easement Area,
Owner shall indemnify, protect, defend and hold the City, their officers,
directors, members, employees, contractors, legal representatives, agents,
successors and assigns harmless from and against all liabilities costs,
losses, orders, liens, penalties, damages, expenses, or causes of action,
claims, demands, or judgments, including without limitation reasonable
attorney's fees, arising from or in any way connected with injury or the
death of any person, or physical damage to any property, or any other
costs or liabilities resulting from any act, omission, condition, or other
matter related to or occurring on or about the Subject Property, including
the Easement Area, regardless of cause, unless due to the negligence or
willful misconduct of City. City shall be named additional insured on
Owner's general liability insurance policy.
10. The City shall manage its responsibilities for the Easement, including, but
not limited to, annual monitoring, such additional monitoring as
circumstances may require, record keeping, and enforcement, for the
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purposes of preserving the agricultural productive capacity and open space
character of the Easement Area in perpetuity. The City shall maintain a
record of such monitoring, describing the method of monitoring, condition
of the Easement Area, stating whether any violations were found during
the period, describing any corrective actions taken, and the resolution of
any violation.
11. The City shall have the right to prevent and correct violations of the terms
of this Agreement. With reasonable advance notice to the Owner, the City
may enter the Easement Area for the purpose of inspecting for violations.
If the City finds what it believes is a violation, it may at its discretion take
appropriate legal action. Except when an ongoing or imminent violation
could irreversibly diminish or impair the open space character and
agricultural productivity of the Easement Area, the City shall give the
Owner written notice of the violation and thirty (30) days to correct it,
before filing any legal action. If a court with jurisdiction determines that a
violation may exist or has occurred, the City may obtain an injunction to
stop it, temporarily or permanently. A court may also issue an injunction
requiring the Owner to restore the Easement Area to its condition prior to
the violation. In any case where a court finds that a violation has
occurred, the Owner shall reimburse the City for all its expenses incurred
in stopping and correcting the violation, including but not limited to
reasonable attorney's fees. The failure of the City to discover a violation
or to take immediate legal action shall not bar it from doing so at a later
time. Without limiting Owner's liability therefore, the City shall apply
damages recovered to the cost of undertaking any corrective action on the
Easement Area. Should the restoration of lost values be impossible or
impractical for whatever reason, the City shall apply any and all damages
recovered to furthering the City's mission, with primary emphasis on
agricultural easement acquisition and enforcement.
12. If the City should desire to transfer the Easement created by this
Agreement to another qualified party, the City must first obtain written
permission from the Owner, which permission shall not be unreasonably
withheld. The request shall state the name of the qualified party to which
the transfer is proposed, the reasons therefore, and such other information
as the Owner may request. If written consent is given for the proposed
transfer, the City may transfer the Easement created by this Agreement to:
1) a private nonprofit organization that, at the time of transfer, is a
"qualified organization" under Section 170(h) of the U.S. Internal
Revenue Code and under Section 815.3(a) of the Civil Code of California
and has similar purposes to preserve open space and prime irreplaceable
farmland, as well as agreeing to assume the responsibilities imposed by
this Agreement; 2) if no such private nonprofit organization is willing to
assume the responsibilities imposed by this Agreement, then the Easement
created by this Agreement may be transferred to any public agency
authorized to hold interests in real property as provided in section 815.3(b)
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of the Civil Code of California. Such a transfer may proceed only if the
organization or agency expressly agrees to assume the responsibility
imposed on the City by this Agreement. If the City ever ceases to exist or
no longer qualifies under Section 170(h) of the U.S. Internal Revenue
Code, or applicable state law, a court with jurisdiction shall, upon
consultation with the California Department of Conservation, transfer this
Easement, pursuant to the California Public Resources Code Section
10235(b), to another qualified organization, as defined in Section 815.3 of
the Civil Code of California, and having similar purposes that agrees to
assume the responsibility imposed by this Agreement.
13. Any time the Subject Property itself, or the Easement Area, or any interest
in either of them, is transferred by the Owner to any.-third party, the Owner
shall notify the City in writing at least 30 days prior to such transfer, and
the document of conveyance shall expressly incorporate by reference this
Agreement. Any document conveying a lease of the Subject Property or
of the Easement Area shall expressly incorporate by reference this
Agreement. Failure of the Owner to do so shall not impair the validity of
this Easement or limit its enforceability in any way.
14. This Easement may be amended only with the written consent of the
Owner and City. Any such amendment shall be consistent with the
purposes of this Agreement and with the City's easement amendment
policies, and shall comply with Section 170(h) of the Internal Revenue
Code, or any regulations promulgated in accordance with that section, and
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with Section 815 et seq. of the Civil Code of California, or any regulations
promulgated thereunder.
15. Termination of the Easement shall be governed by Sections 10270 -10277
of the Public Resources Code of California. Termination of the easement
through condemnation is subject to the requirements of Section 10261 of
the Public Resources Code. If all or any portion of the Subject Property is
acquired by eminent domain, or by purchase in lieu of eminent domain,
City and Owner shall be paid by the condemnor (or purchaser) the
respective values of each of their interest in the Easement Area at the time
of condemnation (per Public Resources Code Section 10261(a) 2). Should
the easement be condemned or otherwise terminated on any portion of the
Easement Area, the balance of the Easement Area shall remain subject to
this Agreement. In this event, all relevant related documents shall be
updated and re- recorded by the City to reflect the modified Easement
Area.
(a) This Agreement shall be interpreted under the laws of California,
resolving any ambiguities and questions of the validity of specific provisions
so as to give maximum effect to its conservation purposes.
(b) References to authorities in this Agreement shall be to the statute, rule,
regulation, ordinance or other legal provision that is in effect at the time this
easement becomes effective.
(c) No provision of this Agreement shall constitute governmental approval of
any improvements, construction or other activities which may be permitted
under this Agreement. The Easement created by this Agreement pursuant to
Civil Code section 815.1 shall run with the land in perpetuity. Every
provision of this Agreement that applies to the Owner or City shall also apply
to their respective agents, heirs, executors, administrators, assigns, and all
other successors as their interests may appear. No merger of title, estate or
interest shall be deemed effected by any previous, contemporaneous, or
subsequent deed, grant, or assignment of an interest or estate in the Subject
Property, or any portion thereof, to City, or its successors or assigns, it being
the express intent of the parties that this Easement not be extinguished by, or
merged into, or any other interest or estate in the Subject Property now or
hereafter held by City or its successors or assigns.
17. Any notices to Owner and City required by this Agreement shall be in writing
and shall be personally delivered or sent by first class mail, to the following
addresses, unless a party has been notified by the other of a change of address:
To Owner:
Irish Hills Plaza West, LLC
284 Higuera Street
San Luis Obispo, CA 93401
To City:
City of San Luis Obispo
990 Palm Street
San Luis Obispo, CA 93401
18. The Owner warrants that Owner has no actual knowledge of a release or
threatened release of hazardous substances or wastes on the Subject Property
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and hereby promises to defend and indemnify City against all litigation,
claims, demands, penalties and damages, including reasonable attorneys' fees,
arising from or connected with any release of hazardous waste or violation of
federal, state or local environmental laws. Notwithstanding any other
provision herein to the contrary, the parties do not intend this Agreement be
construed such that it creates in or gives the City:
i. the obligations or liability of an "owner" or "operator" as those
words are defined and used in environmental laws, as defined
below, including, without limitation, the Comprehensive
Environmental Response, Compensation and Liability Act of
1980, as amended (42 USC section 9601 et seq. And
hereinafter "CERCLA ");
ii. the obligations or liability of a person described in 42 USC
section 9607 (a)(3) or (4);
iii. the obligations of a responsible person under any applicable
Environmental Laws, as defined below;
iv. the right to investigate and remediate any Hazardous Materials,
as defined below, associated with the Subject Property; or
v. any control over Owner's ability to investigate, remove,
remediate, or otherwise clean up any Hazardous Materials
associated with the Subject Property.
The term "Hazardous Materials" includes, without limitation, (a) material that
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is flammable, explosive, or radioactive; (b) petroleum products; and (c)
hazardous materials, hazardous wastes, hazardous or toxic substances, or
related materials defined in the CERCLA (42 USC section 9601 et seq.), the
Hazardous Materials Transportation Act (49 USC section 5101, et seq.), the
Hazardous Waste Control Law (California Health and Safety Code section
25100 et seq.), and in the regulations adopted and publications promulgated
pursuant to them, or any other applicable federal, state, or local laws,
ordinances, rules, or regulations now in effect or enacted after this date. The
term "Environmental Laws" includes, without limitation, any federal, state or
local or administrative agency statute, regulation, rule, ordinance, order or
requirement relating to pollution, protection of human health, the environment
or Hazardous Materials.
19. Owner represents and warrants that Owner has good fee simple title to the
Subject Property; free from any and all liens or encumbrances, except those
set forth in Exhibit C, all of which have been subordinated to this Easement,
and hereby promises to defend the same against all claims that may be made
against it.. Owner represents and warrants that the Subject Property is not
subject to any other conservation easement whatsoever. Owner may grant
subsequent conservation easements on the Easement Area, provided that such
subsequent easements are for the purpose of wetland, wildlife habitat or
biological resource creation, enhancement or preservation. City shall be
notified in advance, in writing, of any proposed conservation or other
easement on the Subject Property.
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20. If any term, provision, covenant, or condition of this Agreement is held by a
court of competent jurisdiction to be invalid, void, or unenforceable, the
remainder of the agreement shall remain in full force and effect and shall in no
way be affected, impaired, or invalidated..
21. As attested by the signature of its Mayor affixed hereto, in exchange for
consideration, the City hereby accepts without reservation the rights and
responsibilities conveyed by this Agreement.
IN WITNESS WHEREOF, the parties hereto have executed this document on the day
and year first written above.
ALL SIGNATURES MUST.BE NOTARIZED
OWNER / GRANTOR
IRISH HILLS PLAZA WEST, LLC
BY C V_U
Clint Pearce, Vice- President
CITY OF SAN LUIS OBISPO
David F. Romero, Mayor
Date: 'S — I -J_ — 10
Date: S - / % —/d _ _
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STATE OF CALIFORNIA )
�JJ
COUNTY OF SAN LUIS OBISPO )
On May 17, 2010, before me Elaina Cano, City Clerk, personally appeared David F. Romero.
Mayor, CITY OF SAN LUIS OBISPO, 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), 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.
Witness my hand and official seal.
Signature
City Clerk
(Seal)
/O The City of San Luis Obispo is committed to include the disabled in all of its services, programs and activities.
v� Telecommunications Device for the Deaf (805) 781 -7410.
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Exhibit "A"
"SUBJECT PROPERTY"
PARCEL 2: (APN: 067- 241 -024)
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THAT PORTION OF LOT 69 OF THE SUBDIVISIONS OF THE RANCHOS
CANADA DE LOS OSOS AND LA LAGUNA, IN THE COUNTY OF SAN LUIS
OBISPO, STATE OF CALIFORNA, ACCORDING TO THE MAP RECORDED IN
BOOK A PAGE 83 OF MAPS, IN THE OFFICE OF THE COUNTY RECORDER
OF SAID COUNTY, DESCRIBED AS FOLLOWS:
COMMENCING AT THE EXTREME NORTH CORNER OF SAID LOT 69
AT CORNER OF FENCE BEARING NORHT 60'/2° WEST AND SOUTH 23'/2°
EAST; THENCE SOUTH 22'/4 EAST, 13.42 CHAINS TO LINE OF DIVISION
FENCE; THENCE SOUTH 58'/° WEST, 21.39 CHAINS ALONG DIVISION
FENCE TO ANGLE OF THE SAME,; THENCE SOUTH 48° WEST, 35.73
CHAINS ALONG DIVISION FENCE TO A POINT IN MOUND OF STONE;
THENCE NORTH 430 WEST, 22.50 CHAINS; THENCE NORTH 60 Y2° EAST,
63.09 CHAINS TO POINT OF BEGINNING.
EXCEPTIONG THEREFROM THAT PORTION OF THE LAND DESCRIBED IN
DEED TO THE STATE OF CALIFORNIA, RECORDED NOVEMBER 21, 1962 IN
BOOK 1212 PAGE 243 OF OFFICIAL RECORDS.
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Exhibit "B"
LEGAL DESCRIPTION
"EASEMENT AREA"
APN: 067 - 241 -024
File no: 0658 -0002 (00200) May 11, 2010
A portion of Lot 69 of the Subdivision of the Ranchos Canada de Los Osos and La Laguna,
in the County of San Luis Obispo, State of California, according to the map filed in Book A at
Page 83 of Maps in the Office of the County Recorder of said County, also described in the
Quitclaim Deed recorded 9/04/2009 as Document Number 2009049784 of Official Records in
said Office of the County Recorder, being more particularly described as follows:
Commencing at a one inch diameter iron pipe and tag stamped "San Luis Engr. LS 3673"
marking the southeasterly corner of said portion of Lot 69 and also being on the westerly line
of that parcel of land described in the Grant Deed recorded 11/21/1962 as Document
Number 26566 to the State of California and being at the southeasterly terminus of course
labeled "N 29 004'38" W 53.11' M" on the Record of Survey map filed in Book 71 at Page 87
of Licensed Surveys and bearing north 59 037'38" east 1152.21 feet, (N 59 037'35" E 1152.19
feet per 71/LS/87), from a found one inch diameter iron pipe and plastic plug stamped "RCE
12545" marking an angle point in the southeasterly line of said portion of Lot 69;
Thence along said southeasterly line south 59 037'38" west 420.35 feet to the True Point of
Beginning;
Thence leaving said southeasterly line north 21'49'52" east 278.80 feet;
Thence north 18 053'39" east 240.38 feet to the beginning of a non- tangent curve concave to
the southeast having a radius of 385.53 feet and to which beginning a radial line bears north
69 002'03" west;
Thence northeasterly along said curve 277.89 feet through a central angle of 41 °17'54';
Thence north 38 059'03" east 19.49 feet to a point in the said westerly line of parcel described
in said Grant Deed and as shown on said Record of Survey map and to the beginning of a
non - tangent curve concave to the west having a radius of 600.00 feet and to which beginning
a radial line bears north 77 018'57" east;
Thence northwesterly along said westerly line and said curve 12.10 feet through a central
angle of 01 009'18 ";
Thence continuing along said westerly .line north 13 °4929" west 164.25 feet to the most
northerly corner of parcel described in said Grant Deed also being the most southerly comer
of the parcel of land described in the Easement Deed recorded 1/30/1967 as Document
Number 1825 to the County of San Luis Obispo and being a point on the southwesterly right
of way line of Los Osos Valley Road as shown on said Record of Survey map and also being
the beginning of a non - tangent curve concave to the southwest having a radius of 3,702.38
feet and to which beginning a radial line bears north 67 046'02" east;
Thence northwesterly along said westerly right of way line and said curve 42.86 feet through
a central angle of 00 °39'48 ";
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Thence leaving said westerly right of way line south 56 041'12" west.472.04 feet;
Thence south 11 051'27" west 121.24 feet;
Thence south 59 037'38" west 335.60 feet;
Thence south 30 022'22" east 516.00 feet to a point in the said southeasterly line of said
portion of Lot 69;
Thence along said southeasterly line north 59 037'38" east 153.06 feet to the True Point of
Beginning.
Containing 7.1 acres more or less.
All distances are grid distances, to obtain ground distances divide the given distance by the
project combined scale factor of 0.999945817.
The above - described parcel of land is graphically shown on Exhibit "C" attached hereto and
made a part hereof.
End Description
Joseph T. Morris P.L.S. 6192 dated: 5/11/2010
SAND 3��G
No. 6192
Exp. 3131112
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LEGEND
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RCE EXHIBIT C JOB NO.: 658 -02
o 612 CLARION COURT AGRICULTURAL PRESERVATION ..DWG: AG PRESERV
- SAN LUIS OBISPO, CA 83401 EASEMENT DRAWN BY: MM
T 805 544 -4011 - -
F605544-4294 COUNTY OF SAN LUIS OBISPO, CA DATE:5 111110
www.wella[e8r°up.us
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CERTIFICATE OF ACCEPTANCE
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THIS IS TO CERTIFY that the interest in real property conveyed by the OPEN SPACE AND
AGRICULTURAL CONSERVATION EASEMENT AGREEMENT dated May 12, 2010, by and
between IRISH HILLS PLAZA WEST, LLC, a California corporation ( "Grantor"), and the CITY
OF SAN LUIS OBISPO, a municipal Corporation ( "Grantee "), is hereby accepted by the
undersigned officer on behalf of the City Council pursuant to authority conferred by
Resolution No. 5370 (1984- Series) recorded June 15, 1984, in Volume 2604, Official
Records, Page 878, San Luis Obispo County, California, and Grantor hereby consents to
recordation thereof by its duly authorized officer or his agent.
Date: May 12, 2010
CITY OF SAN LUIS. OBISPO
by:7�,Q
David F. Romero, Mayor
ATTEST:
Elaina Cano, City Clerk
1
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
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State of California
County of 5W Lin 1 S o015po 1
On 511211 1 ° before me, rsa W C 1� I2t "?rvyl3 Nti'(1ys`%y �"'r�l -fC
Date Here Insert Name and Title of the Officer
personally appeared (111
who proved to me, on the basis of satisfactory evidence to
be the person*whose name4*bare subscribed to the
within instrument and acknowledged to me that
Ce-)she /they executed the same infi�iIer /their authorized
capacity(iesl, and that by(bi0her/their signatureJwyon the
instrument the person(aj; or the entity upon behalf of
which the person(aracted, executed the instrument. .
Ooh a 1>�T I certify under PENALTY OF PERJURY under the laws
NMI Polk -comb of the State of California that the foregoing paragraph is
true and correct.
OEM BM
W 8 >r 2
WITNESS my hand and official seal.
Signature D�nc
Place Notary Seal Above Signature f Notary Public
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 Z �t
Title or Type of Document: 'Oem s 5
Document Date: 1 -L Number of Pages: 1 Z ' �( �. 6 i
Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Si ner's Name:
Signer's Name:
l Individual
F
El Individual
b Corporate Officer — Title(s):
❑ Corporate Officer — Title(s):
❑ Partner — ❑ Limited ❑ General _ _
❑ Partner — ❑ Limited ❑ General
❑ Attorney in Fact
••
❑ Attorney in Fact
-
❑ Trustee
Top of thumb here
❑ Trustee
Top of thumb here
❑ Guardian or Conservator
❑ Guardian or Conservator
❑ Other:
❑ Other:
Signer Is Representing:
Signer Is Representing:
02007 National Notary Association • 9350 De Soto Ave., P.O. Bar 2402 a Chatsworth, CA 91313 -2402 • www.NabonalNotary.org Item #15907 Reorder: Call Toll -Free 1- B00.876-6827
END Or DOCUMENT