Fill and Sign the California Easement Form

RECORDING REQUESTED BY: __________________________ __________________________ WHEN RECORDED MAIL TO: __________________________ __________________________ __________________________ __________________________ Recording Fee: Exempt Space above this line for Recorder's use (Government Code Section 27383) Documentary Transfer Tax: Exempt ________ . (Revenue and Taxation Code Section 11922) Assessors Parcel No. ________ All (Revenue and Taxation Code Section 11922) STORM DRAIN EASEMENT For A Valuable Consideration, receipt of which is hereby acknowledged, ___________________________ Name of Grantor / Owner of Record / Vesting does hereby grant to the City of _______________________ , a Municipal Corporation, an easement for covered storm drain, appurtenant structures, ingress and egress purposes, and all uses incident thereto, including the right to make connections therewith from any adjoining properties, in, upon, over and across the real property located in the City of _______________________ , described as: _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ or It is understood and agreed by the parties hereto that Grantee shall have the right to convey to the _____________________ County Flood Control District, a body corporate and politic, any and all rights hereby acquired. Dated: ____________________ , 20 _____ . ____________________________ Property Owner For ____________________________ ACKNOWLEDGMENT State of California County of On before me, (here insert name and title of the officer), personally appeared 1 , 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 (Seal) 2