HomeMy WebLinkAboutMS 04-06; May, Mary; 2020-0264665; Hold Harmless Agreement/Release.,:;_/l)
''
RECORDING REQUESTED BY
WHEN RECORDED MAIL TO:
City Clerk
CITY OF CARLSBAD
1200 Carlsbad Village Dr.
Carlsbad, CA. 92008
DOC# 2020-0264665
111111111111 lllll 111111111111111 lllll lllll lllll lllll 111111111111111111
May 26, 2020 01 :21 PM
OFFICIAL RECORDS
Ernest J Dronen burg. ,Ir,
SAN DIEGO COUNTY RECORDER
FEES $0.00 (SB2 Atkins $0.00)
PAGES 4
SPACE ABOVE· THIS LINE FOR RECORDER'S USE
ASSESSOR'S PARCEL NO. 167-080-36-00
PROJECT NO. MS 04-06
PROJECT NAME: MAY MINOR SUBDIVISION
HOLD HARMLESS AGREEMENT
PANHANDLE LOTS
In consideration of the City's approval of grading plan (DWG 521-8A) Subdivision No.
MS 04-06 for development to occur on property more particularly described as (see attached,
Exhibit "A"), and other good and valuable consideration, receipt of which is hereby acknowledged,
ll(We) Mary May, an Individual, owner(s) of the subdivided property, promise to hold the City of
Carlsbad, its officers, agents and employees, or any other public agency, harmless from any
liability for damage to the driveway or access portion of the panhandle lot when it is being used
in the performance of any public service or activity.
/II
Ill
/II
/II
/II
/II
Ill
Ill
/II
1
Q:\CED\LandDev\PROJECTSIMSIMS 04\MS 04-06 Humphrey minor sub aka May Minor Sub -Chua\B&AIHOLD HARMLESS AGREEMENT PANHANDLE LOTS.docx
Rev. 01/25/13
This agreement is required as a condition of approval by the Carlsbad Municipal Code,
this agreement shall be binding on my(our) heirs and assigns or other successive owners of the
subject property and shall be noted on the final map.
~a IN WITNESS WHEREOF, the undersigned has executed this instrument this ___,,c_../_<v_ day
, 202:fl_.
APPROVED AS TO FORM:
CELIA BREWER
City Attorney
By ~~p=Clf
Assistant City Attorney
PROPERTY OWNERS
Mary
By:
dividual
d title)
Date:
By:
(sign here)
(print name and title)
Date:
(Proper notarial acknowledgment of execution by SUBDIVIDER must be attached)
(Chairman of the Board, President, or any Vice-President and Secretary, any Assistant Secretary,
the Chief Financial Officer, or any Assistant Treasurer must sign for corporations. If only one officer
signs, the corporation must attach a resolution certified by the secretary or assistant secretary under
corporate seal empowering that officer to bind the corporation.)
2
Q ICED\LandDev\PROJECTSIMS\MS 04\MS 04-06 Humphrey minor sub aka May Minor Sub -Chua\B&AIHOLD HARMLESS AGREEMENT PANHANDLE LOTS.docx
Rev. 01/25/13
EXHIBIT 'A'
LEGAL DESCRIPTION OF REAL PROPERTY
Real property in the City of Carlsbad, County of San Diego, State of California, described as follows:
LOT 29 OF CHESTNUT HEIGHTS, IN THE CITY OF CARLSBAD, COUNTY OF SAN DIEGO, STATE OF
CALIFORNIA, ACCORDING TO MAP THEREOF NO. 5328, FILED IN THE OFFICE OF THE COUNTY RECORDED
OF SAID COUNTY ON JANUARY 17, 1964
APN: 167-080-36-00
CALIFORNIA ALL-PURPOSE
CERTIFICATE OF 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 of San Diego
}
}
On ___ M=-:..;:a"""r'-'c=h-'-"3e..,0.._· -=2 ... 0=2=-><0_ before me, __ D~,1~0"1 ... J~i□~□ ......... NJ.Wo~t~.,..e"""riXr.-m-'-s~cclrtl~~a ... ~ .... ll~'i""'nd'""ti""'tle_o.,..,lt-,-he-o""'fft-Ce ..... r) ____ _
personally appeared ___ M_a_ry-=--M_a_:.y ________________ _
who proved to me on the basis of satisfactory evidence to be the person(,81' whose ~ subscribed to the within instrument and acknowledged to me that
executed the same in~@!~ authorized capacity(.ies'J, and that by
signatur~ on the instrument the personfst, or the entity upon behalf of
which the person(-st acted, executed the instrument.
I certify under PENAL TY OF PERJURY under the laws of the State of California that
the foregoing paragraph is true and correct.
WITNESS my hand and official seal.
Notary Public Signature (Notary Public Seal)
~~ISl1 I
NOTAIY PUILIC-CALIJORNIA I
1A11 DIEGO COUIITY
MrC-.&,illfEIUMIYl.altJ
INSTRUCTIONS FOR COMPLETING THIS FORM ADDITIONAL OPTIONAL INFORMATION This form complies with current Cal/fornia statutes regarding notary wording and,
DESCRIPTION OF THE ATTACHED DOCUMENT if needed, should be completed and al/ached to the document Acknowledgments
from other states may be completed for doc11me111s being sent to that state so long
Hold Harmless Agreement Panhandle
(Title or description of attached document)
Project ID MS-04-06 (Title or description of attached document continued)
Number of Pages __ Document Date ___ _
CAPACITY CLAIMED BY THE SIGNER
□ Individual (s)
□ Corporate Officer
(Title)
□ Partner(s)
□ Attorney-in-Fact
□ Trustee(s)
□ Other __________ _
2015 Version VNM.NotaryGlasses.com 800-87'.3-9865
as the wording does not require the California notmy to violate California notary
law.
• State and County infonnation must be the State and County where the document
signer(s) personally appeared before the notary public for acknowledgment.
• Date of notarization must be the date that the signer(s) personally appeared which
must also be the same date the acknowledgment is completed.
• The notary public must print his or her name as it appears within his or her
commission followed by a comma and then your title (notary public).
• Print the nam.e(s) of document signer(s) who personally appear at the time of
notarization.
• Indicate the correct singular or plural forms by crossing off incorrect forms (i.e.
he/she/they, is /are) or circling the correct forms. Failure to correctly indicate this
information may lead to rejection of document recording,
• 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
sufficient area permits, otherwise complete a different acknowledgment form.
• Signature of the notary public must match the signature on file with the office of
the county clerk.
❖ Additional information is not required but could help to ensure this
acknowledgment is not misused or attached to a different document.
❖ 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).
• Securely attach this document to the signed document with a staple.
·--I L