HomeMy WebLinkAboutMINUTES - 09142004 - C15 TO:p BOARD OF SUPERVISORS
FROM: MAURICE M. SHIU, PUBLIC WORKS DIRECTOR
DATE: September 14, 2004
SUBJECT: Approving the Parcel Map and Subdivision Agreement,being developed by Suellen Schaumburg
for Minor Subdivision 03-00013.
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
RECOMMENDATION(S):
ADOPT Resolution No. 2004/ 465 for Minor Subdivision 03-00013,approving the parcel map and subdivision
agreement, being developed by Suellen Schaumburg,Rodeo area. (District II)
FISCAL IMPACT:
None
BACKGROUNDIREASON(S) FOR RECOMMENDATION(S):
The developer has satisfied their Conditions of Approval.
CONSEQUENCES OF NEGATIVE ACTION:
The parcel map and subdivision agreement would not be approved.
Continued on Attachment:_,,,,, SIGNATURE: tl�. 14AZ
_LeRIICOMMENTIATION OF COUNTY ADMINISTRATOR
_RECOMMENDATION OF BOARD COMMITTEE
,AVfROVE OTHER
SIGNATURE(S):
ACTION OF BO ON SETIIER I4, 2004 APPROVED AS RECOMMENDED xx OTHER
I hereby certify that this is a true and correct
copy of an action taken and entered on the
VOTE OF SUPERVISORS
minutes of the Board of Supervisors on the XX UNANIMOUS(ABSENT NONE date Shown.)
AYES: NOES:
ABSENT: ABSTAIN:
ATTESTED: SEPTEMBER 14, 2004
G:\GrpData\EngSvc\BO',2004\04-14-04\MS 03-00013 Order.doc JOHN SWEETEN, Clerk of the Board of
Oris.Div: Public Works(ES) Supervisors and County Administrator
Contact: F.Navarro(313-2264)
cc: Public Works—T.$ell,Construction
—K,Dahl,Engineering Services
Current Planning,Community Development
T—July 14,2005 A/ ,
Suellen Schaumburg By , Deputy
1100 Fairview Ave
Brentwood,CA 94513
THE BOARD OF SUPERVISORS OF CONTRA COSTA COUN'T'Y, CALIFORNIA
Adopted this Resolution on September 14, 2004, by the following vote:
AYES: SUPERVISORS GIOIA, UILK0,A, GREENBERG, DESAULNIER AND GLOVER
NOES: NONE
ABSENT: NONE
ABSTAIN: NONE
RESOLUTION NO. 2004/ 465
SUBJECT: Approval of the Parcel Map and Subdivision Agreement for Minor Subdivision 03-
00013, being developed by Suellen Schaumburg,Rodeo area. (District 11)
The following documents were presented for Board approval this date:
1. Map
The Parcel map of Minor Subdivision 03-00013,property located in the Rodeo area,
Supervisorial District 11, said map having been certified by the proper officials.
it. Subdivision Agreement
A subdivision agreement with Suellen Schaumburg,principal,whereby said principal
agrees to complete all improvements as required in said subdivision agreement
within one year from the date of said agreement. Accompanying said subdivision
agreement is security guaranteeing completion of said improvements as follows:
I hereby certify that this is a true and correct copy of an action
taken and entered on the minutes of the Board of Supervisors
on the date shown.
Originator:Public Works(ES)
ContacG:\Grpt: Frank Navarro
30\200\0-14-0 ATTESTED: SEPTEMBER 14, 2004
G:\GrpDatalEngSvelBO\2004\09-14-04ll�iS 03-00013 B0-21.doc
KD:rm JOHN SWEETEN,Clerk of the Board of Supervisors and
cc: Public Works—T.Bell,Construction
K.Datil,Engineering Services County Administrator
Current Planning,Community Development
T—July 14,2005
Suellen Schaumburg
1100 Fairview Ave
Brentwood,CA 94513 By j
"""F ,Deputy
RESOLUTION NO.2oo4/ 465
SUBJECT: Approval of the Parcel Map and Subdivision Agreement for Minor Subdivision 03-
00013,being developed by Suellen Schaumburg,Rodeo area. (District II)
DATE: September 14,2004
PAGE: 2
A. Cash Bond
Performance amount: $15,797.23
Auditor's Deposit Permit No. 428837 Date: July 29, 2004
Submitted by: Rick Spencer
Taxpayer's identification number: 568-96-8465
B. Cash
Auditor's Deposit Permit No.: 428837 Date: July 29, 2004
Labor&Materials Amount: $7,898.62
Principal: Rick Spencer
III. Tax Letter
Letter from the County Tax Collector stating that there are no unpaid County taxes
heretofore levied on the property included in said map and that the 2003-2004 tax
lien has been paid in full and the 2004 tax lien,which became a lien on the first day
of January 2004,is estimated to be$2,500.00,with security guaranteeing payment of
said tax lien as follows:
• Tax Surety
Auditor's Deposit Permit No.: 428366 Date: July20, 2004
Amount: '$2,500.00
Submitted by: Rick Spencer
NOW, THEREFORE, THE FOLLOWING IS RESOLVED:
1. That said subdivision, together with the provisions for its design and
improvement,is DETERMINED to be consistent with the County's general and
specific plans.
2. That said Parcel map is APPROVED and this Board does not accept or reject on
behalf of the public any of the streets, paths, or easements shown thereon as
dedicated to public use.
3. That said subdivision agreement is also APPROVED.
All deposit permits are on file with the Public Works Department.
RESOLUTION NO. 2004/465
SUBDIVISION AGREEMENT
/ (Gov.Code,§§66462 and 66463)
subcovision: /y Effective Date:_��j�,
Subdivider: Completion Period: y C
THESE SIGNATURES ATTEST TO THE PARTIES'AGREEMENT HERETO.
CONTRA COSTA COUNTY 7SUBDIVIDER
Maurice M.Shiu,Public Works Dctor
ew-
By: 62
Print Nang 3
RECOMMENDED FOR Aon? 11"}` t,t: Print Title 0
By: Print Name
Engineering rvicesv n I, Print Title
FORM APPROVED: St4no B March unty CounselN{ 07E:All signatures must be acknowledged,if Subdivider is Incorporated,the contract
must be signed by two officers.The fast signature must be that of the chairman of the
board,president,or vice-president the second signature must be that of the secretary,
assistant secretary,chief financial officer,or assistant treasurer.(Civ.Code,§1190 and
Corps.Code,§313.)
CERTIFICATE OF ACKNOWLEDGMENT
State of Cal'omia )
Courtlyof�.Zr�..t,-��..t..., ss,
On the date written Wow,before me,the undersigned Notary Public,personally appeared the peo signing above for. y l vt � .04,6
brow A ue*Prored to me on the basis of satisfactoryevidence)to be the rson("hose nam subscribed to the within instrument and acknowledged to me
executed the same in this@ er§*r authorized capacity(W and that by Mst a signaturekon the instrument the persoO*or the entity upon behalf of which the person acted,
executed the instrument
WITNESS my hand and official seat.
Dated: ti A L.CROSS
x COMM. #1327605 Notary Public
(Notary Sea4} "°i NOTARY PUBLIC-CALIFORNIA
CONTRA COSTA COUNTY
My Comm;ExPres November,21,2005 i!
r
1. PARTIES&DATE Effective on the above date,the County of Contra Costa,California,(hereinafter"County")end the above-mentioned Subdivider mutually promise and agree
as follows concerning this Subdivision:
2. IMPROVEMENTS.Subdivider agrees to install certain road improvements(both public and private),drainage lmprovements,signs,street lights,fire hydrants,landscaping and
such other Improvements(including appurtenant equipment)as required in the improvement plans for this Subdivision as reviewed and on Me with the Contra Costa County Public Works
Department,as required by the Conditions of Approval for this Subdivision,and in conformance with the Contra Costa County Ordinance Code,including future amendments thereto
(hereinafter`Ordinance Code'),
Subdivider shah complete said improvements(hereinafter"Work")within the above completion period from date hereof,as required by the California Subdivision Map Act(Gov.
Code,§§66410 at seq.)in a good workmanilke manner,in accordance with accepted construction practices and Ina manner equal or superior to the requirements of the Ordinance Code
and rulings made thereunder,and where there is a conflict among the improvement plans,the Conditions of Approval and the Ordinance Code,the stricter requirements shall govern.
3. IMPROVEMENTS SECURITY.Upon executing this Agreement,the Subdivider shall,pursuant to Gov.Code§66499 and the County Ordinance Code,provide as security to
the County:
A. For Performance and Guarantee:$f r717,
cash,Pius additional security,in the ar nount of$ which together total one hundred
percent(100%)of the estimated cost of the Work. Such addition security is presented in the form of:
Cash,c affled check or cashiers check.
Acceptable corporate surety bond.
Acceptable irrevocable letter of credit.
With this security,Subdividerguarantees performance under this Agreement and maintenance of the Work forone yearafter its completion and acceptance againstany defective
workmanship or materials or any unsatisfactory performance.
B. For Payment: Security in the amount$ which is fifty percent(50%)of the estimated cost of the Work.Such security is presented in the
form of:
L Cash,certified check,or cashier's check
Acceptable corporate surety bond, Form Approved by County Counsel
Acceptable Irrevocable letter of credit. [Rev.9103)
Page 1 of 2
With this security,Subdivider guarantees payment to the contractor,to its subcontractors and to persons renting equipment or furnishing labor or materials to them or to the
Subdivider.
Upon acceptance of the Work as complete by the Hoard of Supervisors and upon request of Subdivider,the amounts held as security may be reduced in accordance with
Sections 944.406 and 94.4.408 of the Ordinance Code.
4, GUARANTEE AND WARRANTY OF WORK. Subdivider guarantees that the Work shalt be free from defects in material or workmanship and shall perform satisfactorily for a
period of one(1)year from and after the Board of Supervisors accepts the work as complete in accordance with Article 96-4.6,"Acceptance,"of the Ordinance Code. Subdivider agrees to
correct,repair,or replace,at Subdivider's expense,any defects in said Work.
The guarantee period does not apply to road improvements for private roads that are not to be accepted into the County road system.
5. PLANT ESTABLISHMENT WORK.Subdivider agrees to perform plant establishment work for landscaping Installed under this Agreement Said plant establishment work shall
consist of adequately watering plants,replacing unsuitable plants,doing weed,rodent and other pest control and other work determined by the Public Works Department to be necessary
to en sure establishment of plants. Said plant establishment work shall be per€omied for a period of one(1)year from and after the Board of Supervisors accepts the Work as complete.
6, IMPROVEMENT PLAN WARRANTY.Subdivider warrants the improvement plans for the Work are adequate to accomplish the Work as promised in Section 2 and as required
by the Conditions of Approval for the Subdivision. If,at any time before the Board of Supervisors accepts the Work as complete or during the one year guarantee period,said improvement
plans prove to be inadequate in any respect,Subdivider shall make whatever changes are necessary to accomplish the Work as promised.
7. NO WAIVER BY COUNTY. Inspection of the Work and/or materials,or approval of the Work ardor materials or statement by any officer,agent or employee of the County
indicating the Work or any part thereof complies with the requirements of this Agreement,or acceptance of ft whole or any part of said Work andlor materials,or payments therefor,or any
combination or all of these acts,shall not relieve the Subdivider of h obligation to fulfill this Agreement as prescribed;nor shall the County be thereby stopped from bringing any action for
damages arising from the failure to comply with any of the terms and conditions hereof.
8. INDEMNITY. Subdivider shall defend,hold harmless and indemnify the Indemnitees from the liabilities as defined in this section:
A. The indemnilees benefitted and protected by this promise are the County and its special districts,elective and appointive boards,commissions,officers,agents and
employees.
B. The liabilities protected against are any liability or claim for damage of any kind allegedly suffered,incurred or threatened because of actions defined below,and
including personal Injury,death,property damage,inverse condemnation,or any combination of these,and regardless of whether or not such liability,claim or damage was unforeseeable
at any time before County reviewed said Improvement plans or accepted the Work as complete,and Including the defense of any suft(s),action(s),or other proceedings)concerning said
liabilities and claims.
C. The actions causing liability are any act or omission(negligent or non-negligent)in connection with the matters covered by this Agreement and attributable to
Subdivider,contractor,subcontractor,or any officer,agent,or employee of one or more of them.
D. Non-Conditions.The promise and agreement in this section are notoonditioned ordependent on whetherornot any indemnitee has prepared,supplied,or approved
any plan(s)or specification(s)in connection with this Work or Subdivision,or has Insurance or other indemnification covering any of these matters,or that the alleged damage resulted partly
from any negligent or willful misconduct of any indemnitee.
9. COSTS.Subdividershall pay,when due,all the costs of the Work,including but not limited to the costs of relocations of existing utilities required thereby;inspections;material
checks and tests;and other costs incurred by County staff arising from or related to the Work,and priorto acceptance of the Work as complete orexpiration of any applicable warranty periods,
whichever is later.
10. SURVEYS.Subdivider shall set and establish survey monuments in accordance with the filed map and to the satisfaction of the County Road Commissioner-Surveyor before
acceptance of the Work as complete by the Board of Supervisors.
11. NON-PERFORMANCE AND COSTS, If Subdivider fails to complete the Work within the time specified in this Agreement,and subsequent extensions,or fails to maintain the
Worn County may proceed to complete and/or maintain the Work by contract or otherwise and Subdivider agrees to pay all costs and charges incurred by County(including,but not limited
to,engineering,inspection,surveys,contract,overhead,etc.)Immediately upon demand.
Once action is taken by County to complete or maintain the Work,Subdivider agrees to pay all costs incurred by County,even 9 Subdivider subsequently completes the Work.
Should County sue to compel performance under this Agreement or to recover costs incurred In completing or maintaining the Work,Subdivideragrees to pay all attorney's fees,
staff costs and all other expenses of litigation incurred by County in connection therewith,even If Subdivider subsequently proceeds to complete the Work.
12. INCORPORATION}ANNEXATION. If,before the Board of Supervisors accepts the Work as complete,the Subdivision is included in territory incorporated as a city orls annexed
to an existing city,except as provided in this paragraph,County's rights under this Agreement andlor any deposit,bond,or later of credit securing said rights shall be transferred to the new
or annexing city.Such city shall have all the rights of a third party beneficiary against Subdivider,who shall fulfill all the terms of this Agreement as though Subdivider had contracted with
the city originally.The provisions of paragraph 8(Indemnity)shall continue to apply In favor of the indemnitees listed in paragraph S.A.upon any such incorporation or annexation.
13. RECORD MAP. In consideration hereof,County shall allow Subdivider to file and record the final map or parcel map for said Subdivision.
14. RIGHT OF ENTRY,Subdivider hereby consents to entry onto the Subdivision property,and onto any other property over which Subdivider has land rights and upon which any
portion of the Work is to be installed pursuant to the improvement plans,by County and its forces,including contractors,for the purpose of inspection,and,in the event of non-performance
of this Agreement by Subdivider,completion and/or maintenance of the Work.
Form Approved by County Counsel
[Rev.9/031
HAFinahPW1LWSubAgmt.9.03.wpd
Page 2 of 2
F g
its
Sa
K
« � S S
t I I44 �
lig � by
$ U 11 t
lit
lit
;t � "w 15{P, .
Ja
PRO
� �
R . 9I 1.�
s
I
i r I t
3,W,isAts �
� i' {taHw7.uaco
Y
$4
IRE
lie 0-4 +*069TH-99WE
N [� M
1
aooxa
sts! k1 0�;; �
l
ip
i«� tN ✓^ � � oyd
o
N
R e
/ rgo N
11
......... ......... ......... ......... ......... ......... ......... ......... ......... ..... .._. _
.. __ ........ ..........-_. ......._.. _........ ......... ......__.....__......_.. _........ ......... ......... ......... .........
V0JD AFT'C-R 91U04 7120104 NO AM $42 03-0013
Tax Collector's Office William J.Pollacek
625 Court Street Contra County Treasurer-Tax Coliecior
Finance Building,Room 100
P.O.Box 631 Russell V.Watts
Martinez,California 94553- Costa Chief Deputy Treasurer-Tax Collector
0063
(925)646-4122 County Joslyn Mitchell
(925)646-4135 FAX Tax Operations Supervisor
:,larar
pq -_
Date: 7120/2004
IF THIS TRACT IS NOT FILED PRIOR TO THE DATE TAXES ARE OPEN FOR
COLLECTION (R&T CODE 2608) THIS LETTER IS VOID.
This will certify that I have examined the map of the proposed subdivision entitled:
Tract!IVIS# City T.R.A.
03-0013 RODE0 62058
Parcel#: 357-103-009-1
and have determined from the official tax records that there are no unpaid County taxes heretofore
levied on the property included in the map.
The 2003-2004 tax lien has been paid in full. Our estimate of the 2004-2005 tax lien, which
became a lien on the first day of January, 2004 is $2,500.00
This tract is not subject to a 1915 Act Bond. If subject to a 1915 Act Bond, the original principal
to calculate a segregation is
The amount calculated is void 45 days from the date of this letter, unless this letter
is accompanied with security approved by the Contra Costa County Tax Collector
Subdivision bond must be presented to the County Tax Collector for review and approval of
adequacy of security prior to filing with the Clerk of the Berard of Supervisors.
WILLIAM J. POLLACEK,
Treasurfe,r-Tax Coll ct r,
By:
f
SLP.1_�.2004 1:51Pm CCC PE.€BLZC ARKS
DEPOSIT PERMIT NQ'070 P.2
OFFICE OF COUNTY AUg>jT It-CONTROu
TC7THE'CREAU#ltER: MARTINEZ,CALFM#WA �� •�,-..>��.i I r1���"`
IEMVED FROM .
i
t
ORGANIZATION NUMBER
.._(I ')rte L
Com► cMMoc6e s Fr u p�y�Craunty Aldff inittrotdr's MM uMtwtin 14Sy
L1Mn5CR7t M"MC3N
FUND/OM TASK CMPT1pN Ah UkVT
�} '
�o0
Z A4
r
17
00,
13
j � r
{ � M }
?�� d ( : t 7 / %' ✓ 71''/ ''GjGl�. f' it�c iz of the o+r;ng ism
{
CO(N OW Ct RIMNCY
161
f /1 ✓ ':f FOR AUDM OR-Co�MotCgt t35E£1trNY
14
Tho amt of
dsctyz
-ds+t n,*the CmtTwarpr it fcr li ' mcg�pt of`cbme;w-unt x
-p� R,ecaipt of oMo�*
Lxaty Cetrr{1Y Atldw
.34 MCMV{7-93} t �� Y Crwe�i}+iriracv+w
SEP.15.2004 1:51PM CCC PUBLIC WAS-
w"W" pnmfNO 070 P.3
.L7 OF COUNTY JkUDt'Olt-CON'!'ttOLLER EI t{t
TO TRVASUR R: MA"NEx.CAi FORMA
ORMWMATION NUMBER '
aldrnirritifratcx'x ,toy
i3 CREP#7 iUCNE>JC�RG SM
ACCT. TABIC CNN ACT"Y AAAOLNT
r E
! ILI
E
442 ,2 .E
�3L�l.S E J
aw
EXP!A,NAMU' Mo-t--q-
TOTAL $DEPOSM f
Deposit corm sls of the
COIN OW CURRENCY $
CHEM Mtn,.E"CC.
Iw owoslrs
FOR AUC i3R-CC 1T i i a USE OMY
CEPOSTr
N1mm
CIATE 712,1 l°
ASS*NEU
The t7moumt of otomy&crsjbW abo,,is far TfaesX�7
,�
5f1'iYI!'p f11R C.",ty T7 gx" I xeipt of abb"amourvt is lvm3by
� -
T;r
Ex 7''.� �E( ��CountyaysiE« "d:
(74
EY 3) �r countyrre�
,.SAR1 f ,
J
. ...:
SEP.2 S.2004 2PP1 CGC IUBLIC PUBLICtJC3RlCS, S1'I"PES lli NO 070 P.4
OWSOF tOUNTY AUMT`OR-CONfEtOLLER J� �
0 THE TREASOM: 'MARTMZ CAUFORNEA A,
*CFNM ROOM (r
ORGANMATION NI)AM
;For Cah C0110C M PracrduM S"[wmty A l*-mWu hw's cul{ M 1054
t3ESCRtP"t tC t t It3RG ACCE TASK OPTION ACTYWTY Alert lW
14 ,1 lift
2 }�
4V9 i�z
ki6
Wit
T
o
t
F
F
F
t
F
t
t.
F
1
E
F
{
E
F
ElfP1 AhtAT N: TOTAL � F
DEPOT t
Deposit cora ft of tf*fa lowing inti-
COIN and CURREMC't' S
CHECKS,MC't.ETO $
BANK D EPO5fTS $
PERMrr M-7
MATE I .I
ASS*NED
The*mount of m*r4y defc rtmd abow 4 far Tr�rasiutt 3 mft;pt of amftun i3,appro,,a .
deP**bio the�T't-aury fi c Qmeurti#is hereby
r -Om$�W/p
lit ( 'r E�{/' DX1 '". ya • Std
0ePutY courFy Fre�utvr
•3!F?EY.�,�-935 ,..�
{
SEP. 15.2004 1:52PM CCC PUBLIC WORKS NO.070 P.5
0649-9665 / 8310: G1139724, $89,555.00, Sub 8381, Improvement Plan
Review, Shapell Industries of Northern California, 100 North Milpitas Blvd.,
Milpitas, CA 95035
0649-9665 / 831000: 63139738, $17.542.00. DA0043, Plan Check, Shapell
Industries of Northern California, 100 North Milpitas Blvd., Milpitas, CA
95035
0649-9665 / 831000. 6113940, $500.00_, RS 2921, Record of Survey
Deposit, Harriet Leong-Hall / Stephen D. Hall, 98 Barbara Rd,, 4rinda, CA
94563
0649-9665 / 831000. G1139741, $5.000,00, Sub 8779, Improvement Plan
Review, Centex Hames Northern California, 2527 Camino Ramon, Suite 100,
San Ramon, CA 94583
0649-9665 / 831000:. &1139743, $10,178.35, RA11e 2, Road Acceptance
Inspection, Shapell Industries of Northern California, 100 North Milpitas
Blvd'., Milpitas, CA 95035
0649-9665 / 831000: 01139751, $ , RS2923, Record of Survey
Deposit, Milani and Associates, 4071 Port Chicago Hwy, Suite 100, Concord,
CA 94520
0649-9665 / 831000: 61139752, $500-00, RS2924, Record of Survey
Deposit, Earl L. Gray, 3564 Eris Ct., Walnut Creek, CA 94598
0649-9665 / 831000,. 61139754, $50000, bP 02-3052, Review of Reling of
Abutters Rights, Canyon Creek Presbyterian Church, 347 Fostoria Way,
Suite b, San Ramon, CA 94583-1318
0682-9752: G1139735, $14200.£39, Parker Ave Underground, Kevin M.
Osman, 2656 Silverado, Pinole, CA 94564
819800-0800: 61.139737, The Mechanics Bank, 683 Parker Ave, Rodeo, CA
94572
$15,797.23, M$13-03, Cash Bond
.._
SEP.15.200�3 1:52PM CCC PUBLIC WORKS N0.070 P.6
$7.898.62, MS 13-03, Payment (labor & materials)
819800.0800: 61139739, Kinder Morgan SFPP, L.P., 2100 Town & Country,
Orange, CA 92868
$10,000.00, FC Permit 632-03, Additional Cash Bond
$10,000.00, FC Permit 633-03, Additional Cash Bond
County of Contra Costa
Deposit Permit
Office of County Auditor-Controller
Martinez, California
To the Treasurer:
Received From
TREASURER TAX COLLECTOR Organization Number 0015
(Organization)
625 COURT ST. RM 100
Martinez, Cat. 9.4553
(For Cash Collection Procedures See County Administrator's Bulletin 105.)
Description Fund/Or2 Sub Acct Task Option Activity Amount
SUBDIVISION TAX GUARANTEE 810900 0800 $2,500.00
REVIEW REQUIRED BY CONTRA Total
COSTA TAX COLLECTOR AFTER 09103104 Deposit $2,500.00
SUBDIVISION TAX GUARANTEE TRACT/ MS 03=0013 Deposit consists of the following items
use t4 pay taxes 2004-2005 COIN and CURRENCY $
RICK SPENCER CHECKS,M.O., Etc. $ $2,500.00
1104 DENNIS CT BANK DEPOSITS $
RODEO CA. 94572 FOR AUDITOR-CONTROLLER USE ONLY
510-799-1742 DEPOSIT PERMIT NUMBER AND DATE ASSIGNED:
DP # 4283366 JUR 2
DATE 07/20/04
The amount of money described above is for Deposit into Treasurer's receipt of above amount is Receipt of above amount is hereby acknowledged.
the County as ry. approved.
�r July 20,2004 Cl�r?ffi
Sig fid: f l �'r Date:
Julie ont 925-957-2842 Signed: Signed:
SUBDi SION TAX SPECIALIST Deputy County Auditor Deputy County Treasurer
D-34 Rev.(5101)JAC