190 Dillon Ave. (64-56)
- thIs dor'.:" ~~nt hat
not been co'mpared with the O~i at.
SANTA CLARA COUNTY RECoiioER
12007096 .
NO FEE üJ
FILED fOfd~lcORD
" '
AT RËQUESr OF
NOTICE OF RELEASE BY
CITY OF CAMPBELL
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JUl 20 8 01 AM '93
.oFf/GAL RtC(nU.->
NOTICE IS HEREBY GIVEN concerning the real property 10catEM'ttfth€!10~ COUNTY
of Campbell, Santa Clara County, California, and described specifically as fOllo~~~Er:¡~:~E
Recorded in Book 6897, Page 651 & 652 of Official Records on March 26, 1968.
That the undersigned City of Campbell granted conditional approval of
certain improvements on the above-described real property on May 13, 1968, pursuant
to a Deferred Street Improvement Agreement entered into between the City and the
Owner recorded in the official records of the Santa Clara County Recorders' office in
Book 8148, Page 677.
That Terrence N. Wolfe, et aL, Owner of said real property, executed a
petition for the formation of a special assessment district created pursuant to any special
assessment act as provided in the Streets and Highways Code of the State of California,
and participated and became a part of that special assessment district.
That special assessment district No. 30 entitled Dillon-Gilman LID #30 was
in fact created and included the real property described above.
That as a result of the creation of this special assessment district, Owner will
not be responsible for, and is hereby released from, the construction and/or installation
of the street improvements delineated in the Deferred Street Improvement Agreement of
May 13, 1968, recorded in the Official Records of the Santa Clara County Recorders
Office at Book 8148, Page 677.
CITY OF CAMPBELL
Dated: 7/;2,/1-3
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By: ~ di
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(Title)
Parcel #43
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THIS AGREEMENT, made and entered into this 13tù day of
May , 19~, by and between WILLIAM J. MARTIN, JR.,
also known as WM. J. MARTIN, Jr. and REGINA E. MARTIN, husband and
wife, and CHARLES L. ZEILER and CARMEN J. ZEILER, husband and wife,
hereinafter referred to as "Owners", and the CITY OF CAMPBELL, a
municipal corporation of the County of Santa Clara, State of
California, hereinafter referred to as "City".
A G R E E MEN T NO FEE
---------
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WITNESSETH:
WHEREAS, OWners did heretofore on March 25, 1968, apply to
Planning Commission of City for architectural approval in order to
construct a warehouse and office building or structure upon that
certain real property described upon that certain instrument
recorded March 26, 1968, and filed in Book 6897 of Official Records
at Pages 651 and 652 in the Office of the County Recorder of said
County of Santa Clara, State of California, which said real pro-
perty is hereinafter referred to as "said real property", which
architectural approval was granted by said Commission at its regular
meeting held April 15, 1968: and,
'.
WHEREAS, a certain condition of said approval provides for the
dedication to the public of certain real property to become public
street rights-of-way, to become a portion of Dillon Avenue: and,
NOW, THEREFOR, IT IS MUTUALLY AGREED TO by and between the
parties hereto that in consideration of the acceptance on behalf
of the public of the real property dedicated to the public for
public street purposes and related uses and to become a portion of
said Dillon Avenue, OWners shall construct and/or install public
street improvements upon said Dillon Avenue consisting of, but not
limited to, the following:
FIRST: Construct City of Campbell standard commercial side-
walk, driveway approaches, curb and gutter, all consisting of
Portland Cement concrete.
SECOND: Provide and install street name signs, and regulatory
signs, and sign posts as required by the City Engineer of City.
THIRD. Grade said real property to drain into the streets,
unless determined impractical by City Engineer of City.
FOURTH: Provide and install a water distribution system to
serve said real property.
FIFTH: Provide and install a sanitary sewerage system to
serve said real property.
SIXTH: Provide and plant street trees of a variety and size
as required by said City Engineer.
1 of 4
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SEVENTH: Provide and construct a storm water drainage system
to serve said real property.
EIGHTH: Provide and install a street lighting system con-
sisting of, but not limited to, steel poles, concrete pole bases,
upsweep bracket arms, luminaires with individual integral photo-
electric cells, underground electrical conduits, with conductors,
and junction boxes.
NINTH: Construct street pavement structures consisting of
asphaltic concrete with underlying untreated crushed rock-base
course.
TENTH: Install an underground electrical energy and telephone
system to serve said real property.
1. All of said improvements shall be constructed and/or in-
stalled by Owners when Owners are notified by City to so construct
and/or install said improvements. Owners shall cause plans to be
prepared by a Civil Engineer licensed by the State of California,
which plans shall be submitted to City Engineer of City for examina-
tion and approval.
2. It is further agreed to that all of said improvements shall
be constructed in accordance with plans approved by the City Engineer
of the City of Campbell, and shall be made under the inspection and
to the satisfaction of the City Engineer. It is further agreed to
that said construction shall be in accordance with the existing
ordinances and resolutions of the City of Campbell, and to all
plans, specifications, standards, sizes, lines and grades approved
by the City Engineer, and all State and County statutes applicable
thereto.
3. It is further agreed to that the construction work of the
improvements embraced by this agreement shall be done in accordance
with the standard specifications of the Department of Public Works,
Division of Highways, State of California, dated January, 1960, and
in accordance with the specifications of the City of Campbell, and
Sanitation District No.4 of Santa Clara County, where indicated.
WHEREVER the word "State" or words "Division of Highwaysll are
mentioned in the State Specifications, it shall be considered as
referring to the City of Campbell. Also, wherever the IIDirector"
or "Director of Public Works" is mentioned, it shall be considered
as referring to the City Engineer.
In case of conflict between the State Specifications and the
Specifications of the City of Campbell and Sanitation District No.4
of Santa Clara County, the Specifications of the City of Campbell
and Sanitation District No.4 of Santa Clara County shall take
precedence over and be used in lieu of such conflicting portions.
2 of 4
BDOK 8148 P,\C~ G7[J
4. It is further agreed to that Owners shall file with City,
upon execution of this agreement, a bond in the amount of ONE
THOUSAND FIVE HUNDRED DOLLARS ($1,500.00) to insure full and
faithful performance of the construction of all the aforementioned
improvements, excluding sanitary sewers and water distribution
system. Said bond shall guarantee that Owners will remedy any
defects in the aforementioned improvements which shall appear
within one (1) year from the date of acceptance of the work by
City and pay for any damage to other work resulting from the
construction thereof, as well as paying the cost of all labor and
materials involved. This bond is to remain in full force and
effect until one (1) year after date of final acceptance of said
improvements.
5. It is further agreed to that the storm drainage area fee
in connection with said real property and in conformance with the
requirements established by Section 9110.5 of the Campbell Municipal
Code is in the amount of FIVE HUNDRED SIXTY-FIVE DOLLARS ($565.00).
6. It is further agreed to that City reserves the right to
revise storm drain design shown on approved improvement plans
provided Owners are given reasonable written notice of City's
intention to make revisions. Reimbursement amount will be adjust-
ed by any difference between revised storm design and presently
approved storm design, in accordance with City of Campbell Storm
Fee Schedule.
7. It is further agreed to that Owners shall, upon written
notice thereof, immediately repair or replace without cost or
obligation to the City of Campbell, and to the entire satisfaction
of said City, all defects and imperfections arising out of or due
to faulty workmanship and/or materials appearing in said work
within a period of one (1) year after date of final completion and
acceptance.
8. It is further agreed to that Owners shall pay to Pacific
Gas and Electric Company any and all fees required for installa-
tion of underground wiring circuit to all electroliers within
said real property, when Owners are notified by either the City
Engineer of Campbell or the Pacific Gas and Electric Company that
the said fees are due and payable.
9. It is further agreed to that Owners shall carry out any
and all negotiations with all interested parties and shall per-
form or cause to be performed at their own cost and expense and
to the satisfaction of the City Engineer any and all work required
to abandon, remove, raise, lower, relocate, and otherwise modify
irrigation line or lines within the boundary of said real property.
3 of 4
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10. It is further agreed to that Owners shall indemnify
and save harmless the City of Campbell, the City Council, and
the City Engineer and other officers or employees of City of
Campbell from any suits, claims, or actions brought by any per-
sons for or on account of any injuries or damages to persons or
property sustained or arising in the construction of the on-site
work due to any acts, omissions, or negligence of Owners, their
officers, . agents, employees, or contractors.
11. It is further agreed to that the above-named terms and
conditions shall bind the heirs, successors, administrators, or
assigns of the Owners.
IN WITNESS WHEREOF, said City has caused its name to be
hereunto affixed by its Mayor and City Clerk, thereunto duly
authorized by resolution of the City Council, and said Owners
have hereunto caused their names to be affixed the day and year
first above written.
CITY OF CAMPBELL
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Mayor
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APPROVED AS TO FORM:
~~
ity Attorney
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Ci ty Clerk'
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Regina E. Martin
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~Charles L. Ze~ler
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NO FEE
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Carmen J. /Zeiler
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4 of 4
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10. It is further agreed to that Owners shall indemnify
and save harmless the City of Campbell, the City Council, and
the City Engineer and other officers or employees of City of
Campbell from any suits, claims, or actions brought by any per-
sons for or on account of any injuries or damages to persons or
property sustained or arising in the construction of the on-site
work due to any acts, omissions, or negligence of Owners, their
officers, agents, employees, or contractors.
11. It is further agreed to that the above-named terms and
conditions shall bind the heirs, successors, administrators, or
assigns of the Owners.
IN WITNESS WHEREOF, said City has caused its name to be
hereunto affixed by its Mayor and City Clerk, thereunto duly
authorized by resolution of the City Council, and said Owners
have hereunto caused their names to be affixed the day and year
first above written.
CITY OF CAMPBELL
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APPROVED AS TO FORM:
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OWNERS
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STATE OF CALIFORNIA,} P,"'îr 8' 148 ~.~~ G8J.,
ss. "oJ v" , ,"...., ~ j,
..................,.......County of..........S.ß..n:t.a......QJ..ß.T..ß............................
On this............3.Q................day of..........Ap.r:J..J-.......................................,in the year one thousand nine hundred and...~..~.~.~.y.:-:-..~..~.g.~:t............
before me, ...........,................Dolor.e.s....I.......Delk......................................, a Notary Public.
State of California, duly commissioned and sworn, personally appeared...__........._...._....................
......... ........W.ILL.IA!:t ..J.........MART.IN.... ...J.R.q.....RE..G.I NA.. ..E.. !..... MARTJ. N.:I. ......,.
..... ............CH.A.RLES-...L.~....ZEILER....and ....CARMEN....J.A.....ZE ILER ................,'
known to me to be the person...Swhose namc.£L.........ar..e....subscribed to the within instrument
and acknowledged to me thatt...he.y...executed the same.
IN WITNESS WHEREOF I /w.ve hereunto set my hand and affixed my official seal in
the...........S.ai.d.............COUnlY of.........S.ant,a....Ç.lar..a.............the day and year in thi..
",."".",....""""""..,..".....""",....""..".,"'"..""""",....""',,.""""""..".......""....""
r""';::~. OFFICIAL SEAL i
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(~\; ,',~~ :;"".:-,,1 Pû,;uc. ,.::r,,-'FORNIA ~
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certificate first above written.
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.....................;-...............,............................................,..........L..:..........................................................................,
Dolores I. Delk Notary Public, State of California
My Commi88ion Expire8........_...............111.1.7.I.9..~...................,....,
FDA" NO. 32'1 OENEIIAL ACKNOWLEDS"ENT
WEST VALLEY OrFICE SUPPLY
GRANT DEED
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WE, WILLIAM J. MARTIN, JR. x also known
as WM. J. MARTIN, JR. and REGINA E. MARTIN,
his wife as joint tenants, as to an un-
divided 1/2 interest, and CHARLES Lo ZEILER
and CARMEN J. ZEILER, his wife as joint
tenants, as to an undivided 1/2 interest,
do hereby grant unto the CITY OF CAMPBELL, a
municipal corporation of the County of Santa
Clara, state of California, for street pur-
poses and to become a portion of Dillon
Avenue, all that certain real property
situate within said City and being more
particularly described as follows:
BEGINNING at the most northerly corner of Parcel One
as said Parcel One is described in the Grant Deed from Thomas
C. O'Neil and Vanette O'Neil, his wife, to wffi. J. Martin, Jr.
and Regina E. Martin, his wife as joint tenants, as to an
undivided 1/2 interest, and Charles L. Zeiler and Carmen J.
Zeiler, his wife as joint tenants, as to an undivided 1/2
interest, which Grant Deed was recorded March 26, 1965, and
filed in Book 6897 of Official Records, at Pages 651 and 652,
in the office of the County Recorder of said County of Santa
Clara, state of California;
j
THENCE, South 31° 46' West 72 feet to the most westerly
corner of said Parcel One;
THENCE, South 58° 14' West 5.00 feet along the south-
westerly line of said Parcel One to the point of intersection
with a line parallel with and 30.00 feet southeasterly, measured
at right angles, from the center line of Dillon Avenue;
THENCE, North 31° 46' East 72 feet along said parallel
line to the point of intersection with the northeasterly line
of said Parcel One;
THENCE, North 58° 14' West 5.00 feet along said north-
easterly line to the POINT OF BEGINNING.
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City of C~mDbr::ll
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&oa~ 8113 f,~CE
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CONTAINING 360.00 square feet, more or less, and
being a portion of Section 35, Township 7 South, Range I
West, M.D.B. & M.
IN WITNESS WHEREOF/we have placed our names this J
~3' c .z:::/ day of L~-L{> , 19 C: ~/ .
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Charles L. z~~r
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On this...3D.t.h........_.....day ot..............Apr.il.......-.........................ïn the year one thowand nine hundred and...........s.ix.ty.",.ei.ght......
before me, .........................D.o.~or.e.s.....I-,......De.lk.........,.......................,......., a. Notary Public,
State of California, duly commissioned and sworn, personally appeared......W.ILLI.A.M.:.J.._.
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,j\\...'~.',...);J NOT.\ ,y PUQ,.IC. CAL..IFORNIA ~
, \' .. , /j P,1:~(,::IP/\L OFFICE IN ¡
¡ ~¿;p. SANTA CLARA COUNTY ~
'õ"...........,......".."""......,......,..",........"""""....."...".,,,................."'..,...",..~""'"."'-~
known to me to be tM person-..S-whose name,5....ar.e...........subscribed to the within instrument
and acknowledged to me that....Í1u!.y...e:xecuted tM same.
IN WITNESS WHEREOF I have hereunto set my hand and affixed my official seal in
the...........sa..i.d...._......Countr of............Sant.a.....Gl.ar,a..........the day and rear in this
certificate first above written.
roaM NO. 32'1 I£NUAL ACKNOWUOIMENT
WElT VALLEY OffiCE SUPPLY
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D-;i;;~'s ... i'. . De ik' Notary Public, State of California.
My Commission Expires.......................J..;¡,/J...1/,g..8............,............
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PLANNING DEPARTMENT
CITY OF CAMPBELL
75 NORTH CENTRAL AVENUE
CAMPBELL, CALIFORNIA
Date
i(),;/cn:)<.::f 2u. 1)(;4
CONDITIONS ATTACHED TO "S" APPROVAL OF PLANS OF
'"' .T. "'lrti¡:.,.~r.
, FOR CONSTRUCTION OF
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TO BE LOCATED AT:
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COND I TI ONS:
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Section 9316.1 of the Campb~11 Municipal Code reads as follows:
Any approval granted under this s~ction shall expire one hundred eighty
(ISO) days after the date upon which such approval was granted, unless an
extension for such approval is obtained by making written application for
same to the Planning Commission at least fifteen (IS) days prior to the
expiration date of such approval.
No building permit shall be issued after the expiration date of any
approval until a new approval ha5 been obtained in the manner provided
for in this chapter,
GRANiED BY THE CITY OF CAMPBELL PLANNING COMMISSION AT A REGULAR MEETING
HELD ON THE
17 t .
DAY OF
CITY OF CAMPBELL PLANNING COMMISSION
By: '-/ . r / / v" Á<;/> </or' .<;,.~' -;/í
Evélyn~Ádámson, Secretary/
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c~ =')ill...T; /\ìJo.r:~L':'; \'/iLl the ~-~Otl~:,\J:;:t...::~'l:/ llw: c£ C(;r~t;_HÜ Avenue ;:,;:; ;:hov.rYl upon tile lv:'1P
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;;~}:::~i:;C'< ~O Lc .¡Oit::¡"'C':ï.Cl'lV 1L;(; of L <:[ C>:l't'¡nc¡,'::.-.:.:d of l"'nd conveyed by i\brLh:l..m
':' (,..J"" -,J 1'-- ',' r"") "C"""'.'-r'".~ "'11,'" ..," -.. ~':')-'d' ,.:"t,c1 "e..,J'crrI1-c'" '-,1 19<)'), o::¡uld
.1._'-'c'_..~(;l.<..."l..JW,'_\./i,^Ú~,)l_'".1..c, " L."_,/ ......,.C;eU~l.H_)_cl, eLl""',
~'C..2Ul',i(:;l CC(J[;CT ;::, l~;:~:)Ln co:: /jA 0:;: :,:';.ClC F"CCOl'cL, rXlJ,~C 4G7" [j:l.nt'l C11,r'1 C~ounty
..),n,',"""" 1-:'lC;,~,,"n "'l{"~'" i',:'-' T,i>,p':'\'7n'" ,'. 1~:'(": ','r,',; 1 -'~)',1""'1 Of 1"1>'1'1 "'0 ror'lvc'Tcd to t'1C
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'-: C\""~ '-')\'[1 ",.;,'~ ,-", hC"':';';"!"1-(1" Pi-,o"'.,,()i ;.,",' 'n',y',") ,"10'1(,5 t"'C c;OU!'¡""T""'I..'crl'rlll' ", O.+: (~"'l'd
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~"""~\';)-'O'-'U ...'.t v,-,u')v""~c,..<";~~1..~;-{,;{)u.~"'~"',~"':~1..,1 ' . , --l<";Ç
~11c:1:"~ ~:J; ~U1.lt.1C'1;;tC;:l., ~in-' of L:Ll.i\.'r~ i\-Jc:nuc .Tv ~l c 4G1 E. 7';', fcet to the noint of
r'c.r,illrtirJi ::':1.1 ì...c"U:.(1 'liO:"èio1l Cj' ~o~ 15 10eJ: ù -:.r; llLà d.OVln dc::oinrntcà and dcline'1ted
ljr)(1L '~,l ,t CC¡:t".ic. "'.f'; cE~LLlc;d, 11 of Luc;:c:::' r3 Addition in tl1c Town of Campbell, being
.n cf ;:cetiuE :':~j, .~ O\"':l,.;nln 7 ~~., 1:, 1 Vi. ~ ,D, v ", whicil ::o:Üd lvIap VIa,:; rcco...'àed
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'~nd ùL:L'nt i";oLLtÌ:\'le:::tcrlv T~. 0 Lc..'LJ.t .:..'j,j;lt -'llUlc);..: :f:.:orn U-~c IT'JrtÌlC'1::;torly line of Lot
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;1: ' 1,)c:: :3 ".:.3 u~c ':":",Ine "r'c ~~;lOV,11 L:.:~'on LiC,';, n of I';,uc::cl.J::.., Addition hcroin1itcr
l'oî',:;"'~'c;>l to \,-~Ll Lc ITorLvlc::,; t(':l'~".' h.cc c'~~ Ll'Ü Ccl't'Ün D'l:ccl of 1 ;,nd conveyed bv
!~"".,I""'l "n"tr yo Cf- 1;'- "(J-e;,;., -"~",,J.., O'~ ")¡'IJ." '-'1""""1 :;.. ----l.J"ð' 'l"t"l C"'l)t""m" -tJ"r"CC1
1.'.- "Ü 'd'O'~' ~.1., "c'-'., ~ L.,"l. '-'U'<.icL.~, .1.- c J, '--'l,~" .-,y ço..-U. l;.,< ç', uç" '- - ç ~~,
1,,'-'3 '1.'1'; ',',', """"Ilor~ ,,"t').,.o.' ') 1(,'-":: ~': 'Cì--'-:-, :L¡ C,~. -'~"'i"'l"",l ,~C"'O"Q'r-" 1.t n""lìc 11.67 '
C ,J ',h.C ~ .c.u". ~I..l <.. L ", .. '.J, ~'-'...U.LL. . l.. ,\ -.. .. J..,"J .J. ll' t..... ~ ",' - Cw'J ~ 1
:~:""lL" ""ì ~:Ow~tH ;.'ceo,':l,.. '"",'iLL 'X'~rt of ;C,";y;;1Ìr'¡ ;,\"i1'1(( J.i~t"rt ::long "'é),id p'1rillol
iÌl~<::' ;:;. ;.J::.~v 014" .:: ,~' ¿~G~. Ó ~~,~t'::l")h~ ¿,~ :;¿\.;t,¡~,~~-t..::'l/Ú~';¿ of 'IJrnon Avo.r:~c, a~~ ::O,'lid
ì'1'ìl~\1~' t'-v"r"'~ i,-" n\'o'-'n )'r~Jr' ,"",'i: -.'t'" -"'C"" "lnr'" """1" 1 -""1"",11">11'J~ð (' ;::8° ItJ' 1,
",.'~'J,,'-(..:.~L."';J'-"~~~':' l...c)l.",,'.c,., ,.:._,~";d>..." J.-"'i~"'U:).....,-,~ ¡...":"Ii.;) J: 'J'"
);',~- '/0 }(XC, 2:10::.'0. 01' l(.:;;~::: tlJ Lc. :?ouL:c,;;t,::::'li ILI:r:; c:;:;--;.id 1 ":llà:; so convo.yed to the
COû1:t:/ c,:C "::'.n.t'1 ,;l'Œ-:., ;:",1.:1 SOU~,lr-:.::tc.::;:I' 1:.110 LeiEr in LèC SOUUlO'ì..::otcrly line of ;:;1..id
-,..," 10. J:"""i" ""1 ,'", ",-,,¡; '-';ì'"')-""'.""'1" ¡-'>^or' t.~' ;"',Oli,;; r7¿1 ..,"',,~,.,.,t ", l~lv'C"
LlJl~U,¥,.,~r,~~ ,cL",,"'~')LIo~,,\..,,"l~,} o.')'~'" ~'j <, ,..., .t.ULi.L\,;<";, .11oreOl. """':>1
t'J L1O ~;OGt':\:i.:.:t:')~'l:i Enc' oJ: r:::Ll;"',CL l~; L;cnc,:: ",.low; ~:'jd SoutÌl\':e::;tel'ly line 1T. b8° 4'
,,7 l"~(¡ 1""',,')' J" to'",' ".,'" :) ,',.",1" 1,',\"0 "C' 1 ')è"1 u., "" CC)Y"V'")'lcr-- to t'1" ("'ounty, O~ C'".,.-,t.-, Cl"ra
~.,-, ~Lo..,~""-,-..I..ccU ,.\.J.""Jl.'-I,...~,_~~., ~".d'- v_J..~ ,'V! 'o... '..l ",-, v .J.UCJ.J.l. ,),
:~CCl'c!:~c'n~iO:le',; f;(;nCfjlcmc .;"i_J ,;'):;".".V!C;;'tc,::'l,r 1L~(: I:. ;;r¡u 1:;' l~a::;t 79.7'1 feet r~lOre
0' '1""" t.J' t:l'" ~'U"\iY~ 0, ""en""" ",'ir""" """,')1' : ot Ie "1 --1'>C1,' "c' tll^ C'.-,rrn "re
"",;,':,,' .t..:;)U~l. -'-'-"';'J,.LLL,I,;:\.'-":"',:<lc\..J.l.., UL_.!!..JL. ".,'-' <;;':>-<'.1..I.C,-1.
,~;lO-"'¡"I~ L;."or; L¡".t ,:i.:::..'t ,j~l I\ Ct. CL~I.UOj, tl c::': Euc~:cr I::.; Addition Ül the Town of ClliYlpbcll,
-U""C'-"'" 'l""". C'" C ~,," ':~) -.. r¡ c', I 'in 'ì ' II \-1;"1"-"1 "al'a' I^/l'a'D ""1'" file,d '
'..:..L¡!'j " ",,1l. J.l ~ 1;;,-" '/... ~. 'u" 1,,- v. 0' ,L,. '; '.oJ c, :i ",I ,J 1\ c. Vv', ,j
-ro-' ","",' 'I-: }'J1 ...:", O-r~~'J' ',') 0," i'", ,':;'(,,-., ""Q'.". -~ '~"1':-1 ('-'11"1 0'-"'" County on 11\iIav 20 189':' m'
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U-'O:', 11':"11 O~" >v' '"' -""""j' ')(',
, ~ "'" -~~°'.J<..;uo,
URBAN DEVELOPMENT DEPARTMENT
CITY OF CAMPBE~L, CALIFORNIA
TO:
APPLI C8ID"S FOR "5" APPROVA~ VAR lANCE OR U2E PERMITS
The name (s) and Recorder's Number, of legal owner (s) of subject property must
be supplied as part of application,
A photo copy of deed may be submitted for this
information.
P1ease fill in necessary information:
THOMAS C O'NEIL & ¥ANETTE O'NEIL
Name (s) as shown on Deed
~ame (s) as shown on Deed
# 2229303 BOOK 5~53 PAGE 181
Recorderls Number
For Office Use Only
Filed as part of application for
for
Fi led
by