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HomeMy WebLinkAboutLot Line Adjustment No. 16-002 - APN 146-221-17, 18, 26; Irv °AA, iff CITY OF HUNTINGTON BEACH INTERDEPARTMENTAL COMMUNICATION TO: Donna Switzer, Deputy City Clerk FROM: Steve Bogart, Senior Civil Engineer DATE: March 22, 2021 SUBJECT: Lot Line Adjustment 16-002 Address: 16502 Bolsa Chica Street(Carwash) THE ATTACHED ORIGINAL LOT LINE ADJUSTMENT IS READY FOR RECORDATION. Please contact the person listed below and arrange for the pick-up or delivery of the attached Lot Line Adjustments. At the time of delivery/pick-up please forward a copy of this memo, the attached Lot Line Adjustments and the County letter dated March 9, 2021 and request that they record the Lot Line Adjustments along with the associated required documents (Grant Deed) for their client. Title Company: First American Title Insurance Company Street Address: 18500 Von Karman Avenue, Suite 600 City,State, and Zip code: Irvine, CA 92612 Attn. Title Officer/Assistant: Michael Brinkman/Gibson Reese Telephone Number: (949)885-2401 /(949)885-2454 Title Officer Email: mbrinkmanCa,firstam.com /ameseta firstam-cum Order No.: NCS-972350-SA1 Client: Irving Chase(Fainbarg 1, L.P.) 129 Wilson Street,#100 Costa Mesa, CA 92627 (949) 722-7400 Engineer: Yefim Tsalyuk, IFT and Associates, LS 7421 Regarding Property at 16502 Bolsa Chica Upon the City Clerks receipt of the recorded copy, please send a copy of the recorded Lot Line Adjustment, to: 1. County of Orange Resources & Development Management Department 300 N. Flower Street Santa Ana, CA 92702-4048 Attn: Brad Tippett, Orange County Surveyor's Office 714-967-0842 2. HB Planning Department Attn: Jason Kelley 714-374-1553 Okelley@surfcity-hb.org) 3. HB Public Works Dept., Attn: Steve Bogart 714-374-1692 (sbogart@surfcity-hb.org) cc: PW LLA File GiFagm g DmsIm1\DEVEL0PNGXr\M ps sod ILAa`.Cny Oak MemdALLA 16-002 mmo w Cny CL:k(16302 BkDha Chrca me wh)3-22-21 S8.d% Recorded in Official Records, Orange County Hugh Nguyen, Clerk-Recorder Mail recorded copies to: IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII01111111Illlllllll�lllll 25.00 • $ R 0 0 1 2 6 8 6 9 2 5 5 CITY OF HUNTINGTON BEACH 2O21000224529 2:11 pm 04101121 CITY CLERK 214 RW14A L09 6 2000 Main Street 0.00 0.00 0.00 0.0015.00 0.00 0.000.000.00 3.00 Huntington Beach, CA 92648 Space above reserved for County Recorder's use Fee: I CITY OF HUNTINGTON BEACH LOT LINE ADJUSTMENT NO. 16 - 002 RECORD OWNERIS) OF EXISTING PARCELS: (I/We) hereby certify that: 1) (1 am/We are) the record owner(s) of all parcels proposed for adjustment by this application: 2) (I/We) have knowledge of and consent to the filing of this application: and 3) The information submitted in connection with this application Is true and correct: APN: 146-221-17, 18, 26 APN: NAME: Falnbarq I. L.P. NAME: California Limited Partnership ADDRESS: 129 W. Wilson St, #100_ ADDRESS: _ Costa Mesa, CA 92627_ DAY DAYTIME EPHONE:_ 9-722-74 TELEPHONE: Signature Signature Name: Irving M. Chase, Manager Name: Signature Signature Name: Name: Accommodation recording only, document not reviewed and no insurance provided Mail recorded copies to: CITY OF HUNTINGTON BEACH CITY CLERK 2000 Main Street Huntington Beach, CA 92648 Space above reserved for County Recorder's use - --- Fee 5 CITY OF HUNTINGTON BEACH LOT LINE ADJUSTMENT No. 16 - 002 RECORD OWNER(S) OF EXISTING PARCELS: (I/We) hereby certify that: 1) (1 amrWe are) the record owner(s) of all parcels proposed for adjustment by this application: 2) (I/We) have knowledge of and consent to the filing of this application: and 3) The information submitted in connection with this application is true and correct: APN: 146-221-17. 18, 26 APN: NAME: Fainbarg I, L.P. NAME: California Limited Partnership ADDRESS: 129 W. Wilson St., #100 ADDRESS: Costa Mesa, CA 92627 DAYEIhRE DAYTIME EPHONE: 949-722-7400 TELEPHONE: 1 Signate ur Signature Name: Irving M. Chase, Manager Name: Signature Signature Name: Name: Accommodation recording only; document not reviewed and no insurance provided CITY OF HUNTINGTON BEACH LOT LINE ADJUSTMENT B No. 16 - 002 NOTARY 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 orange ) On February 17, 2021 before me, Susan L. Valters, Notary Public , personally appeared Irving N. chase who proved to me on the basis of satisfactory evidence to be the person(A whose name()() fis�lare subscribed to the within instrument and acknowledged to me that (&)she/they executed the same in 's/ er/their authorized capacity(jes), and that by er/their signature*) on the instrument the person((), or the entity upon behalf of which the person(gacted, 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. wsw L.wu7Eu � 7 wee oie«M. l ,I� Commnsm 127a5807 N7 Cos EXPV"Jul 10.7C 72 Signatu (Seal) CITY OF HUNTINGTON BEACH LOT LINE ADJUSTMENT No. 16- 002 PREPARER: CONTACT PERSON: Yefim Tsalyuk ADDRESS: 11278 Los Alamitos Blvd. Los Alamitos, CA 90720 y�0 SGL DAYTIME TELEPHONE NO: 562-597-4483 LAND This document consisting of 4 pages was prepared by me or under my direction. A LS7421 03108/21 s�9� 3 Y salyuk License Number Date OF CA1� My License Expires: 12/31/2021 COUNTY: Examined and Approved as to survey content only for g\ONNL LAND sG Kevin R. Hills, County Su eyor oc'�aVNEZ Sqy 9LR% a J �9\x J .8402 O * Ev, a By ily V. N. Sandberg. Deputy County Surveyor s g P.L.S. 8402 f OF CAL\'i Dated this y day of z1;22 zz 2021. Q�pF SSio' CITY ENGINEER: fy This Lot Line Adjustment Application has been examined and approved by 19 y the City of Huntington Beach. Iii Thomas M. Herbel, City Engineer R.C.E. 53300 Date My Registration Expires: June 30, 2023 OF CAI1 PLANNING DEPARTMENT: Examined and Approved as to Zoning Conformance by the City ntington Beach Planning Department By: Date See Exhibits "A, 8 and C" attached hereto CITY OF HUNTINGTON BEACH LOT LINE ADJUSTMENT L/ NO. 16- 002 LEGAL DESCRIPTION "EXHIBIT A" OWNERS EXISTING PARCELS PROPOSED PARCELS AP NUMBERS: REFERENCE NUMBER: FAINBARG I, L.P., A CALIFORNIA 146-221-17, 18, 26 PARCEL 1 LIMITED PARTNERSHIP SHEE T 1 OF 1 THOSE PORTIONS OF THE NORTHWEST QUARTER OF THE NORTHWEST QUARTER OF THE SOUTHWEST QUARTER OF SECTION 21, TOWNSHIP 5 SOUTH, RANGE 11 WEST, IN THE RANCHO LA BOLSA CHICA, IN THE CITY OF HUN77NGTON BEACH, STATE OF CALIFORNIA, AS SHOWN ON A MAP FILED IN BOOK 51. PAGE 13, OF MISCELLANEOUS MAPS, AS DESCRIBED IN A DEED RECORDED APRIL 24, 2013 AS INSTRUMENT NO. 2013000245740 OF OFFICIAL RECORDS, ALL IN THE OFFICE OF THE COUNTY RECORDER OF SAID COUNTY, DESCRIBED AS FOLLOWS: BEGINNING AT THE WESTERLY 114 CORNER OF SAID SECTION 21; THENCE SOUTHERLY ALONG THE WEST LINE OF SAID SECTION 21 TO THE SOUTHWEST CORNER OF SAID NORTHWEST 114 OF THE NORTHWEST 114 OF THE SOUTHWEST 114 OF SECTION 21; THENCE ALONG THE SOUTHERLY LINE OF SAID NORTHWEST 114 OF THE NORTHWEST 114 OF THE SOUTHWEST 114 OF SECTION 21 TO A POINT ON A LINE THAT IS PARALLEL WITH AND DISTANT 50.00 FEET EASTERLY OF THE EASTERLY LINE OF THE WEST 5 ACRES OF SAID NORTHWEST 114 OF THE NORTHWEST 114 OF THE SOUTHWEST 114 OF SECTION 21; THENCE LEAVING SAID SOUTHERLY LINE, ALONG SAID PARALLEL LINE, NORTHERLY TO A POINT ON A LINE THAT IS PARALLEL WITH AND DISTANT 208.71 FEET SOUTHERLY OF THE NORTH LINE OF SAID SOUTHWEST 114; THENCE ALONG SAID LAST MENTIONED PARALLEL LINE, WESTERLY 93.09 FEET TO A POINT ON A LINE THAT IS PARALLEL WITH AND DISTANT 286.71 FEET EASTERLY OF THE WEST LINE OF SAID SEC77ON 21; THENCE ALONG SAID LAST MENTIONED PARALLEL LINE, NORTHERLY 208.71 FEET TO A POINT ON THE NORTH LINE OF SAID SOUTHWEST 114; THENCE LEAVING SAID PARALLEL LINE, ALONG SAID NORTH LINE, WESTERLY TO THE POINT OF BEGINNING. t.ANp R CONTAINS 5.310 ACRES, MORE OR LESS (GROSS) YfF1Y Ts o CONTAINS 4.188 ACRES, MORE OR LESS (NET) A AS MORE PARTICULARLY SHOWN ON EXHIBIT "B" ATTACHED HERETO • • LS 7421 AND BY THIS REFERENCE MADE A PART HEREOF. s�9r F pF CN>FO NOTE. THERE MAY BE EASEMENTS OF RECORD THIS DESCRIPTION HAS BEEN PREPARED DELINEATED AND REFERENCED ON THE UNDERLYING MAPS OR THERE MAY BE OTHER RECORDED BY ME OR UNDE�CTION EASEMENTS WITHIN THE AREA BEING ADJUSTED THAT ARE NOT SHOWN ON THIS DOCUMENT THAT COULD ENCUMBER SAID PARCELS HEREIN. — YE TSALYUK LS 7421 MY LICENSE EXPIRES: 1213112021 CITY OF HUNTINGTON BEACH L LOT LINE ADJUSTMENT ` NO. 16- 002 MAP "EXHIBIT B" OWNERS EXISTING PARCELS PROPOSED PARCELS AP NUMBERS: REFERENCE NUMBER. FAINBARG I, L.P., A CALIFORNIA 146-221-17, 18, 26 PARCEL 1 LIMITED PARTNERSHIP 208.71' SHEET 1 OF 1 N � 208.7 � - W ( 1L 188.77 78.00] DATA SHOWN HEREON IS PER RECORD OF U1 SURVEY NO. 2017-1273, R.S.B. 306115 O 3 - 196-13' R/W .� o R=30.00 I ~ w LEGEND. °j L=47.69' ^0 REVISEDTHI BOUNDARY LINE PERRTHIS ADJUSTMENT �► 60' `4y'7" N F_ o V '� — — — EXISTING BOUNDARY LINE W PpN •ao j TO BE REMOVED W 188.71' o EXISTING BOUNDARY LINE APN 146-221 018 Z N89'35'33"E TO REMAIN ~ o PO` Y26.71' 9J•� PCL I - INDICATES PARCELS AS DESCRIBED e 286.71 IN INSTNO. 2013000245740 O.R. PROPOSED 5000 PARCEL 1 Q rn APN 146-221-026 Ry h n V co Qa w V5.310 ACRES,+/- (GROSS) Q 4.788 ACRES,+/- (NET) 3 (/) N INSTRUMENT NO. 2013000245740 O.R. ^ 0 0 3 m I y�0 L Aci NO SGq m Z ; E.LINE OF W.5 ACRES OF NWI/4. Z Q�YFFIM Ts o NWf 4, SWI 4, SEC.21 I U "> O •" oo I S L.S. 7421 �Q I„ Z qJ a I F OF CAUF� THIS MAP HAS BEEN PREPARED BY ME OR UNDER MY DIRECTION 50.00' e� YE TSALYUK LS 7421 J 319.78• MY LICENSE EXPIRES: 1213112021 \_ N89'36'04"E 379.78' CITY OF HUNTINGTON BEACH LOT LINE ADJUSTMENT NO. 16- 002 SITE PLAN "EXHIBIT C" OWNERS EXISTING PARCELS PROPOSED PARCELS AP NUMBERS: REFERENCE NUMBER: FAINBARG I, L.P., A CALIFORNIA 146-221-17, 78, 26 PARCEL 1 LIMITED PARTNERSHIP HEIL N89'35'33"E 286.71' SHEET 1 OF 1 � 208.71' __ram-_ I 1 188.71' g i O LEGEND: 1 A EASEMENT FOR STREET, PUBLIC UTILITY AND C INCIDENTAL PURPOSES PER BOOK 10022. I I 196.13' R/W PAGE 192, O.R. PROPOSED n © EASEMENT FOR ROAD AND INCIDENTAL Wm \ CAR WASH i $ PURPOSES PER DEED 103 PAGE 280 OF DEEDS Lu H }v, i —6� C4 m i © EASEMENT FOR STREET, PUBLIC UTILITY AND A ;,� INCIDENTAL PURPOSES PER BOOK 6223 b 1T N M1 3 \ PAGE 610, O.R. R� �12��0 nl q�q P EASEMENT FOR PUBLIC U7ILITIES AND Iy y6 ry U INCIDENTAL PURPOSES PER BOOK 7368, PAGE 708, O.R. PP �.88.ZL' J l o R 3 O EASEMENT FOR PUBLIC UTIL177ES AND INCIDENTAL PURPOSES PER BOOK 10080 APN 146-221 018 N89'35'33"E PAGE J15, O.R. o _ 226.71' _ 93.09' e 286.71 REVISED BOUNDARY LINE PROPOSED PER THIS ADUUSTWENT V i PARCEL 1 I .y EXIS77NG BOUNDARY LINE TO BE REMOVED 2 A APN 146-221-026,J! n EXISTING BOUNDARY LINE (� N - TO REMAIN H N - - - - - - EASEMENT LINE 30' JO' AO d-91 V SHAVED4'48" PCL. 1 - INDICATES PARCELS AS DESCRIBED O 3 i a R-30.00 CLEANERS 2 IN INST.NO. 2013000245740 O.R. L-47.69' W <y 5-ill Alf t N N RAGELING M `AND O SALON ao I Fib S o i CANVAS y 3 O 2 GAL Z 3 CHINESE cV = V YEi1M TSALYVK me FGGO p < n J O LS. 7421 �P II 2 I 9lF OF O = ' 1 GN?F I � W I AL8£R 750N'S THIS MAP HAS BEEN PREPARED BY ME OR UNDER MY DIRECTION �T ' ' WIDE� 1 r lM 75ALYUK LS 7421 � 1 319 78' +�+ i MY LICENSE EXPIRES: 12/31/2021 \_ N89'36�04 .7 Recorded in Official Records, Orange County Hugh Nguyen, Clerk-Recorder 128-00 • S .R 0 0 1 2 6 B o 9 2 6 5 - RECORDING REQUESTED BY: 2021000224530 2:11 Pm 04101/21 214 RW14A G02 2 0.00 0.00 20.00 20.00 3.00 0.00 0.000.0075.00 3.00 MAIL TAX STATEMENT AND WHEN RECORDED MAIL DOCUMENT TO: Fainbarg I, I.P. 129 W. Wilson St., #100 Costa Mesa, CA 92627 Space Above This Line for Recorder's use only A.P.N.: 146-221-26 and 146-221-17,18 File No.: GRANT DEED No consideration.This Grant Deed is being recorded to The Undersigned Grantor(s)Dedare(s): DOCUMENTARY TRANSFER TAX S;CITY TRANSFER TAX$; perfect tot tine Adjustment No. 16-002 recording I computed on the comderation or full value of property conveyed,OR concurrently herewith. I computed on the consideration or full value less value of liens and/or encumbrances remaining at time of sale, x unincorporated area; [x) City of Huntington Beach,and EXEMPT FROM BUILDING HOMES AND)005 ACr5 FEE PER GOVERNMENT CODE 273ft l(a)(2) FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Fainbarg I, I.P., a California Limited Partnership hereby GRANTS to Fainbarg I, I.P., a California Limited Partnership the following described property in the City of Huntington Beach, County of Orange, State of California: THOSE PORTIONS OF THE NORTHWEST QUARTER OF THE NORTHWEST QUARTER OF THE SOUTHWEST QUARTER OF SECTION 21, TOWNSHIP 5 SOUTH, RANGE 11 WEST, IN THE RANCHO LA BOLSA CHICA, IN THE CITY OF HUNTINGTON BEACH, STATE OF CALIFORNIA, AS SHOWN ON A MAP FILED IN BOOK 51, PAGE 13, OF MISCELLANEOUS MAPS, AS DESCRIBED IN A DEED RECORDED APRIL 24, 2013 AS INSTRUMENT NO. 2013000245740 OF OFFICIAL RECORDS, ALL IN THE OFFICE OF THE COUNTY RECORDER OF SAID COUNTY, DESCRIBED AS FOLLOWS: BEGINNING AT THE WESTERLY 1/4 CORNER OF SAID SECTION 21; THENCE SOUTHERLY ALONG THE WEST LINE OF SAID SECTION 21 TO THE SOUTHWEST CORNER OF SAID NORTHWEST 1/4 OF THE NORTHWEST 1/4 OF THE SOUTHWEST 1/4 OF SECTION 21; THENCE ALONG THE SOUTHERLY LINE OF SAID NORTHWEST 1/4 OF THE NORTHWEST 1/4 OF THE SOUTHWEST 1/4 OF SECTION 21 TO A POINT ON A LINE THAT IS PARALLEL WITH AND DISTANT 50.00 FEET EASTERLY OF THE EASTERLY LINE OF THE WEST 5 ACRES OF SAID NORTHWEST 1/4 OF THE NORTHWEST 1/4 OF THE SOUTHWEST 1/4 OF SECTION 21; THENCE LEAVING SAID SOUTHERLY LINE,ALONG SAID PARALLEL LINE, NORTHERLY TO A POINT ON A LINE THAT IS PARALLEL WITH AND DISTANT 208.71 FEET SOUTHERLY OF THE NORTH LINE OF SAID SOUTHWEST 1/4; THENCE ALONG SAID LAST MENTIONED PARALLEL LINE, WESTERLY 93.D9 FEET TO A POINT ON A LINE THAT IS PARALLEL WITH AND DISTANT 286.71 FEET EASTERLY OF THE WEST LINE OF SAID SECTION 21; THENCE ALONG SAID LAST MENTIONED PARALLEL LINE, NORTHERLY 208.71 FEET TO A POINT ON THE NORTH LINE OF SAID SOUTHWEST 1/4; THENCE LEAVING SAID PARALLEL LINE, ALONG SAID NORTH LINE, WESTERLY TO THE POINT OF BEGINNING. Accommodation recording only; document not reviewed and no insurance provided Mail Tax Statements To: SAME AS ABOVE Grant Deed -continued Date: 02/24/2021 A.P.N.: 146-221-26 and 146-221-17,18 File No.: Dated: rch 8, 2021 Fai barg I LP By: Name: Irving M. Chase. Tide: Manager 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 )SS COUNTY OF Orange ) On March 8, 2021 before me, Susan L. Walters , Notary Public, personally appeared Irving M. Chase who proved to me on the basis of satisfactory evidence to be the personfK whose name(l) are subscribed to the within instrument and acknowledged to me that tfie)5helthey executed the same in is er/their authorized capacity(i�), and that by er/their signature( on the instrume1 a person``, or the entity upon half of which the personX) 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 ,A hand yand /official seal.//+� ,//}/'✓J This area for offiaal notanal seal. AISAN l WALTERS No Ignatllre -®R,- Notary Public-Calirornle enmje county Commission 0 2295807 My comm.Expires hl 10,2022 ' Page 2 City of Huntington Beach -•- °� ' 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ „,„,%v.huntingtonbeachca.gov Office of the City Clerk Robin Estanislau, City Clerk April 19, 2021 County of Orange Resources & Development Management Department 601 N. Ross Street Santa Ana, CA 92701 Attn: Brad Tippett, Orange County Surveyor's Office Dear Mr. Tippett: Enclosed for your records are recorded copies of Lot Line Adjustment No. 16-002 (APNs 146-221-17, 18 and 26) and the respective Quitclaim Deed. Sincerely, 9,4T444�1� Robin Estanislau City Clerk RE:ds Enclosure Sister Cities: Anjo, Japan ♦ Waitakere, New Zealand OF �CPub11cWorks ISO— March Integrity, Accountability, Service, Trust Shane L. Silsby, Director 9, 2021 Thomas M. Herbel, City Engineer City of Huntington Beach Department of Public Works 2000 Main Street Huntington Beach, CA 92648 Dear Mr., Herbel: The County.of Orange Surveyor has approved Lot Line Adjustment No. LLA No. 16-002. We are forwarding said lot line adjustment to you for further processing and recording. We recommend the following actions to complete the recording of the lot line adjustment. ❑ Verify the owners listed on the lot line adjustment against a current title report or lot book guarantee. ❑ A GRANT or QUITCLAIM deed is required for conveyance. Each deed shall be signed and notarized by the record owner. The deeds shall record concurrently with the lot line adjustment. ❑ Any existing Deed of Trust on the parcels being adjusted should be modified and recorded concurrently with the lot line adjustment. Consent to the lot line adjustment by a party or entity holding a beneficial interest in the property shall be reflected in a modification of the Deed of Trust, including, as appropriate any partial reconveyance necessary to affect the intent of the lot line adjustment. The modification and if required, partial reconveyance shall be executed in the manner of conveyance of real property and recorded concurrently with the deed. Each MODIFICATION OF DEED OF TRUST shall be signed and notarized by all parties. (This is a County of Orange policy only.) We have reviewed this lot line adjustment for technical correctness only. Comment: After the lot line adjustment has been approved by the City and recorded, please send a copy of the recorded lot line adjustment to the Orange County Surveyor's office. Direct any questions regarding this letter or related matters to Brad Tippett at (714) 967-0842. Sincerely, Kevin R. Hills, County Surveyor This letter was prepared under my directi n,-, Ltly Sandberg'P L.S. Date / Deputy County Surveyor 601 N.Ross Street,Santa Ana,CA 92701 w ocpublicworks.com P.O.Box 4048.Santa Ana,CA 92702-4048 714.667.8800 I Info@OCPW.ocgov.com City of Huntington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ NvN w.huntingtonbeachca.gov Office of the City Clerk Robin Estanislau, City Clerk March 22, 2021 First American Title Insurance Company Attn: Michael Brinkman/ Gibson Reese 18500 Von Karman Avenue, Suite 600 Irvine, CA 92612 Phone: 949-885-2401 Re: Lot Line Adjustment (LLA) 16-002; APNs: 146-221-17, 18, 26 Client Name: Irving Chase (Fainbarg I, L.P.) Order # NCS-972350-SAl Property Address: 16502 Bolsa Chica Street (Carwash) Enclosed please find Lot Line Adjustment No. 16-002 and a Quitclaim Deed. After recording, please return recorded copies of the Lot Line Adjustment 16-002 and the Quitclaim Deed to: City of Huntington Beach City Clerk's Office — 2nd Floor P.O. Box 190 Huntington Beach, CA 92648 Robin Estanistau, CMC City Clerk RE:ds Attachments Received by: D CLERK'S OFFICE RETAINS COPY FOR FILE Date: Name of Company: �1J�� Phone: qyq— �7/ 7 - as Sister Cities: Anjo, Japan ♦ Waita ere, New Zealand