PM 2012-515=qmPy
PLEASE COMPLETE THIS INFORMATION
RECORDING REQUESTED BY
AND WHEN RECORDED MAIL TO:
CITY OF LA QUINTA
Attn: CITY CLERK DEPT
78-495 Calle Tampico
La Quinta, CA 92253
DOC # 2013-0230468
05/20/2013 04:11 PM Fees: $27.00
Page 1 of 5
Recorded in Official Records
County of Riverside
Larry W. Ward
Assessor, County Clerk & Recorder
""This document was electronically submitted
to the County of Riverside for recording"
Receipted by. LCWEATHERS
SPACE ABOVE FOR RECORDER'S USE ONLY
CERTIFICATE OF PARCEL MERGER NUMBER 12-515
APN 773-104-035 and THE UNDERSIGNED GRANTOR(S) DECLARE(S)
APN 773-104-036 DOCUMENTARY- TRANSFER TAX IS $
CITY TAX IS $ - -
computed on full value of property conveyed, or
computed on full value less value of liens or
encumbrances remaining at time of sale,
Unincorporated area:X�'�City of La Quinta
THIS AREA'FOR
RECORDERS
CITY Of LA QUINTA
Plan Set No, SE ONLY
THIS PAGE ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION
RECORDING REQUESTED BY
CITY OF LA QUINTA
When recorded, return to:
CITY OF LA QUINTA
CITY CLERK
78495 Calle Tampico
La Quinta, CA. 92253
THIS AREA FOR RECORDER'S USE ONLY
CERTIFICATE OF PARCEL MERGER NO. ZO / Z- $I 5
RECORD OWNERS
EXISTING PARCELS (Assessor Parcel Numbers)
Tower Energy Group, A California Corporation
773-104-035 and 773-104-036
LEGAL DESCRIPTION OF MERGED PARCELS
See attached - Exhibit "A" and Exhibit "B"
SIGNATURE(S) OF RECORDED OWNER ) (Must be Notarized)
Print Name/Title: f
rg
Signature:
Print Name/Tille:
si nvura:
Print Name/Title:
Si nafwe:
Print Name/Title:
Si nature:
This Certificate of Parcel rger reflects Parcel Merger No. 2012-515 as approved by the City of La Quin,
•
Timothy Jonasson, City Engineer Date: Z
NOTARY ACKNOWLEDGEMENT
STATE OF CALIFO NIA )
COUNTY OF !=o- A
On before me,
(Date) J(Name and Title of officer)
personally appeared
J (Name(s) of signer *
who proved to me on the basis of satisfactory evidence to be the person(whose name(, isfarti subscribed to the
within instrument and acknowledged to me that helsf,�executed the same in his�uthorized capacity(4e8j,
and that by hi '4&h* eir- signature(K on the instrument the erson p (,s'f, or the entity upon behalf of which the persanijg�
acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the Sate of California that the foregoing paragraph is true and
correct.
KIMBERLY SCIOLI
Commission # 1943579
WITNESS my hand and official seal z -n Notary Public - California i
Los Angeles County1-4 <1 a
hM1y Comm. Expires Jul 9, 2015
41
NotaryPublic
State of California
County of Riverside
On May 8, 2013, before me, SUSAN MAYSELS, Notary Public, personally
appeared TIMOTHY R. JONASSON who proved to me on the basis of
satisfactory evidence to be the person whose name is subscribed to the
within instrument, and acknowledged to me that he executed the same in his
authorized capacity, and that by his signature on the instrument the person,
or the entity upon behalf of which the person 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.
SUSAN MAYSELS
Commission # 2017256
Notary Public - California x
Signature x Riverside County
AA Comm. Ex irsa r 13. 2017
(seal)
DOCUMENT:
CERTIFICATE OF PARCEL MERGER NO. 2012-515 re: APNs 773-104-035
and 773-104-036 — owner(s) Tower Energy Group.
n SHEET 1 OF 1
EXHIBI T nA
CERTIFICA TE OF PARCEL MERGER NO 2012-515
EXISTING PARCELS
RECORD OWNERS
ASSESSOR PARCEL NUMBERS
TOWER ENERGY GROUP, A CALIFORNIA CORPORA 77ON
773-104-035
TOWER ENERGY GROUP, A CALIFORNIA CORPORATION
773-104-036
PARCEL 'A "
IN THE CITY OF LA QUINTA, COUNTY OF RIVERSIDE, STATE OF CALIFORNIA, LOT 1, BLOCK 134, OF SANTA CARMELITA AT VALE
LA QUINTA UNIT NO. 14, RECORDED IN BOOK 18, PAGES 82 THROUGH 83 OF MAPS, OF SAID COUNTY OF RIVERSIDE, IN SECTION 1,
T6S, R6E, S.B.B. & M.;
TOGETHER WITH LOTS 2, 23 AND 24 OF SAID SANTA CARMELITA AT VALE LA QUINTA UNIT NO. 14, EXCEPTING THEREFROM
THE SOUTHERL Y 16 FEET OF SAID LOTS 2 AND 23.
THE ABOVE DESCRIBED PARCEL "A" CONTAINS 17,044.4 S.F. (0.39 AC., MORE OR LESS)
FOR GRAPHICAL PURPOSES SEE EXHIBIT "B" ATTACHED HERETO AND BY THIS REFERENCE MADE A PART OF.
SUBJECT TO ALL COVENANTS, CONDITIONS, RESERVATIONS, RESTRICTIONS, RIGHTS, RIGHTS OF WAY, EASEMENTS,
OR EXCEPTIONS OF RECORD, IF ANY.
f� r
'O.Np,L. LANZ) S
A. M_
NO. 5479
Exp. 9/30/14
P
8LA QUINTA
5'OV'k'Ty-0'
thy J ,ity Engineer
NOTE EXHIBIT nB n NOTE 1
THERE IIAY BE EASEMENTS OF THIS PLAT WAS PREPARED FROM RECORD DATA AND
RECORD DELINEATEO AND REFERENCED DOES NOT REPRESENT A SURVEY OF THE PROPERTY
ON MAY E ONDE7MAP, OR TARE SHOWN HEREON. THIS MAP HAS BEEN APPROVED
MAY BE fASEMEWS ENTs WITHIN THE RfA MERGER 2012-515
BEING ADJUSTED THAT ARE NOT SHOWN LEGEND UPON THE EXPRESSED CONDITION THAT BUILDING
ON THIS DOCUMENT THAT COULD PERMITS SHALL NOT BE ISSUED FOR ANY DEVELOPMENT
ENCUMBEP SAID PARCEL HEREIN. EXIST. LOT LINE TO REMAIN WITHIN THIS ADJUSTMENT PLAT UNTIL NECESSARY
DEDICATIONS, IF ANY, HAVE OCCURRED.
— LOT LINE TO BE REMOVED
GRAPHIC SCALE
,ANAL LAND �
40 0 20 40
A.
$P� ( IN FEET )
NO. 5479 1 inch = 40 ft.
Exp. 9/30/14
Qfi`A F
ME
T
L=31.46 A VENIDA MON TEZUMA L=31.42
R=20.00 R=20.00
d=90V6 45" o d=89 59'53"
Tan=20.04 " Tan=20.00
N89 58'53"W 165 00'
QQ
79.96 i 4
O
POR. LOT 24 5' P.U.E— '— 5' P.U.E.
Q M.B. 18/82-83.) L0T LINE PER ORIG. TRACT MAP
POR. L O T I 6
M.B. 18/82-83 °�
rzL
JO
L 0 T LINE TO BE REMOVED I POR. LOT 2e q '
o a POR. LOT 23 P 30
a
M.B. 18/82 83 30 00' M.B. 18/82-83
0
W104.86'
0
POR. LOT 23 POI. LOT 2 0:
Q _ M.B. 18/82-83 _^ _ M.B. 18/82-83 W
LOT 22 LOT 3 1 Q
Q AN EASEMENT IN FAVOR OF GTE CALIFORNIA FOR PUBLIC UTILITY PURPOSES, AS
1 RECORDED ON NOV. 4, 1982, AS INS NO 191774, OFFICIAL RECORDS
Q AN EASEMENT IN FAVOR OF GTE CALIFORNIA FOR PUBLIC UTILITY PURPOSES, AS
RECORDED ON NOV. 16, 7982, AS INST: NO. 198689, OFFICIAL RECORDS
CERTIFICA TE OF PARCEL MERGER NO 2012-515
PREPARED BY i APPLICANT APPROVED BY -
WA YNE A. McGEE IF DA TE
L. S. 5479
Tower Energy Group
A t tn: Mark Vasey
198J West 190th Street
Torrance, CA 90504
TimdthyAnasson, City Engineer
Y
T4,ut 4 1'wa"
MEMORANDUM
To: Susan Maysels, City Clerk
From: Ed Wimmer, Development Services Principal Engineer
Via: 40imothyR. Jonasson Public Wo
rks Director /City Engineer
Date: April 24, 2013
Re: Recordation — PM 2012-515 — Rogers, Tower Energy Group
Attached, please find the Certificate of Parcel Merger and supporting exhibits
for the abovementioned Parcel Merger 2012-515 to be sent for recordation.
T:\STAFFVarco\Memo to Susan for recordation 2.doc
LARRY W. WARD Recorder
P.O. Box 751
COUNTY OF RIVERSIDE Riverside, CA 92502-0751
ASSESSOR -COUNTY CLERK -RECORDER (951)486-7000
Website: www.rivers ideacr_com
DOCUMENTARY TRANSFER TAX AFFIDAVIT
WARNING
ANY PERSON WHO MAKES ANY MATERIAL MISREPRESENTATION OF FACT FOR THE PURPOSE OF AVOIDING ALL OR ANY PART
OF THE DOCUMENTARY TRANSFER TAX IS GUILTY OF A MISDEMEANOR UNDER SECTION 5 OF ORDINANCE 516 OF THE COUNTY
OF RIVERSIDE AND IS SUBJECT TO PROSECUTION FOR SUCH OFFENSE.
ASSESSOR'S PARCEL NO. 77 I eq 0
�`73 -- j o 4, -1- 03k I declare that the documentary transfer tax for this
Property Address: 17195 Av e�y"o,�_ jotransaction is: $ `$---
If this transaction 1 exempt from Documentary Transfer Tax, the reason must be identified below.
I CLAIM THAT THIS TRANSACTION IS EXEMPT FROM DOCUMENTARY TRANSFER TAX BECAUSE: (The
Sections listed below are taken ftoni the Revenue and Taxation Code. Please check one or explain in "Other".)
1. _ Section 11911. The document is a lease for a term of less than thirty-five (35) years (including options).
2. _ Section 11911. The easement is not perpetual, permanent, or for life.
3. _ Section 11921. The instrument was given to secure a debt.
4. _ Section 11922. The conveyance is to a governmental entity or political subdivision.
5. ` Section 11925. The transfer is between individuals and a legal entity, or between legal entities,
and does not change the proportional interests held.
6. _ Section 11926. The instrument is from a trustor to a beneficiary, in lieu of foreclosure, and no
additional consideration was paid.
7. _ Section 11926. The grantee is the foreclosing beneficiary and the consideration paid by the
foreclosing beneficiary does not exceed the unpaid debt.
8. _ Section 11927. The conveyance relates to a dissolution of marriage or legal separation.
9. _ Section 11930. The conveyance is an inter vivos gift* or a transfer by death.
*Please be aware that information stated on this document may be given to and used by governmental
agencies, including the Internal Revenue Service. Also, certain gifts in excess of the annual Federal gift
tax exemption may trigger a Federal Gift Tax. In such cases, the Transferor (donor/grantor) may be
required to file Form 709 (Federal Gift Tax Return) with the Internal Revenue Service.
10. Section 11930. The conveyance is to the rantor's revocable living tru .
11. Other (Include ex lanation and authority) ix w e fr- W t_ r A tjl
1 `r�-
I DECLARE UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND CORRECT.
Executed t1 3s Adday of41IL4,L)f 20at e r-a CV
City State
Sig I of Atitan Printed Name of Afliant
Name of Finn (if applicable) Address of Affiant
3 1 o �;;3�
Telephone Nfirnber of Affiant (including at a code]
This form is subject to the California Public Records Act (Government Code 6250 et. seq.)
For Recorder's Use:
Affix POOR Label Here
ACR 521 P-AS4EX0 (Rev. 11/2010) Available in Alternative Fonnats
BC. E-502-A (FRONT) REV. 10 (8-07) RIVERSIDE COUNTY ASSESSOR -COUNTY CLERK -RECORDER, PO BOX 12004, RIVERSIDE, CA 92502-2204, (951) 955-6200 www riversideacr com
PRELIMINARY CHANGE OF OWNERSHIP REPORT
[To be completed by transferee (buyer) prior to transfer of subject property in accordance with section 480.3 of the
Revenue and Taxation Code.] A Preliminary Change of Ownership Report must be filed with each conveyance in
the County Recorder's office for the county where the property is located; this particular form may be used in all
58 counties of California.
THIS REPORT IS NOT A PUBLIC DOCUMENT
SELLER/TRANSFEROR:
BUYER/TRANSFEREE:
ASSESSOR'S PARCEL NUMBER(S): 77-7, -• f 0 — 0 �, S j .77 .3 -- 1 U 4
PROPERTY ADDRESS OR LOCATION: ']7q A- o_ �"Lc1 71-�+ram
MAIL TAX INFORMATION TO. Name L >
Address: 'tic)19 $ 3 1 �+�' e1 �'1�
C �0-
I FOR RECORDER'S USE ONLY [
NOTICE: A lien for property taxes applies to your property on January 1 of each year for the taxes owing in the following fiscal year, July 1 through June
30. One-half of these taxes is due November 1, and one-half is due February 1. The first installment becomes delinquent on December 10, and the second
installment becomes delinquent on April 10. One tax bill is mailed before November 1 to the owner of record. You may be responsible for the current or
upcoming property taxes even if you do not receive the tax bill.
The property which you acquired may be subject to a supplemental assessment in an amount to be determined by the
Assessor. For further information on your supplemental roll obligation, please call the Assessor
at
PART I: TRANSFER INFORMATION (please answer all questions)
YES NO
❑ O� A. Is this transfer solely between husband and wife (addition of a spouse, death of a spouse, divorce settlement, etc.)?
❑ 1( B. Is this transaction only a correction of the name(s) of the person(s) holding title to the property (for example, a name change upon
marriage)? Please explain
❑ C. Is this document recorded to create, terminate, or reconvey a lender's interest in the property?
❑ EX D. Is this transaction recorded only as a requirement for financing purposes or to create, terminate, or reconvey a security interest (e.g.,
cosigner)? Please explain _
❑ E. Is this document recorded to substitute a trustee of a trust, mortgage, or other similar document?
❑ &( F. Did this transfer result in the creation of a joint tenancy in which the seller (transferor) remains as one of the joint tenants?
❑ C�, G. Does this transfer return property to the person who created the joint tenancy (original transferor)?
H. Is this a transfer of property:
❑ 1. to a revocable trust that may be revoked by the transferor and is for the benefit of the ❑ transferor ❑ transferor's spouse?
❑ ®' 2. to a trust that may be revoked by the Creator/Grantor who is also a joint tenant, and which names the other joint
tenant(s) as beneficiaries when the Creator/Grantor dies?
❑ [N 3. to an irrevocable trust for the benefit of the ❑ Creator/Grantor and/or ❑ Grantor's spouse?
❑ 4. to an irrevocable trust from which the property reverts to the Creator/Grantor within 12 years?
❑ I� I. If this property is subject to a lease, is the remaining lease term 35 years or more including written options?
❑ *J Is this a transfer between ❑ parent(s) and child(ren)? ❑ or from grandparent(s) to grandchild(ren)?
❑ *K. Is this transaction to replace a principal residence by a person 55 years of age or older?
Within the same county? ❑ Yes ❑ No
❑ 1W *L. Is this transaction to replace a principal residence by a person who is severely disabled as defined by Revenue and Taxation Code
section 69.5? Within the same county? ❑ Yes ❑ No
❑ I� M. Is this transfer solely between domestic partners currently registered with the California Secretary of State?
*If you checked yes to J, K or L, you may qualify for a property tax reassessment exclusion, which may result in lower taxes on your property. If you
do not file a claim, your property will be reassessed.
Please provide any other information that will help the Assessor to understand the nature of the transfer.
If the conveying document constitutes an exclusion from a change in ownership as defined in section 62 of the Revenue and Taxation Code for any
reason other than those listed above, set forth the specific exclusions claimed:
Please answer all questions in each section. If a question does not apply, indicate with "NIA." Sign and date at bottom of second page.
PART II: OTHER TRANSFER INFORMATION
A Date of transfer if other than recording date 'L
B. Type of transfer (please check appropriate box):
❑ Purchase ❑ Foreclosure ❑ Gift ❑ Trade or Exchange ❑ Merger, Stock, or Partnership Acquisition
❑ Contract of Sale — Date of Contract
❑ Inheritance — Date of Death
❑ Creation of Lease ❑ Assignment of a Lease
❑ Date lease began
❑ Original term in years (including written options) —
❑ Remaining term in years (including written options)
Monthly Payment .
C. Was only a partial interest in the property transferred? ❑ Yes No
If yes, indicate the percentage transferred
❑ Other (please explain):
❑ Termination of a Lease
Remaining Term
-9Fa.
❑ Sale/Leaseback
2.0E-502-A (BACK) REV 10 (8-07)
Please write Assessor's Parcel Number(s):
Please answer, to the best of your knowledge, all applicable questions, then sign and date. If a question does not apply, indicate with "N/A. "
PART III: PURCHASE PRICE AND TERMS OF SALE
A. CASH DOWN PAYMENT OR value of trade or exchange (excluding closing costs)
Amount $
B. FIRST DEED OF TRUST @ % interest for years. Pymts./Mo. = $ (Prin. & Int. only) Amount $
❑ FHA(Discount Points) ❑ Fixed rate New loan
❑ Conventional ❑ Variable rate ❑ Assumed existing loan balance
❑ VA ( Discount Points) ❑ All inclusive D T. ($ Wrapped) ❑ Bank or savings & loan
❑ Cal -Vet ❑ Loan carried by seller ❑ Finance company
Balloon payment ❑ Yes ❑ No Due Date Amount $
C. SECOND DEED OF TRUST @ % interest for years. Pymts./Mo. = $ (Prin. & Int. only) Amount $
❑ Bank or savings & loan ❑ Fixed rate D New loan
❑ Loan carried by seller ❑ Variable rate ❑ Assumed existing loan balance
Balloon payment ❑ Yes ❑ No Due Date Amount $
D. OTHER FINANCING: Is other financing involved not covered in (b) or (c) above? ❑ Yes ❑ No Amount S
Type @ % interest for years. Pymts /Mo = $ (Prin. & Int. only)
❑ Bank or savings & loan ❑ Fixed rate ❑ New loan
❑ Loan carried by seller ❑ Variable rate ❑ Assumed existing loan balance
Balloon payment ❑ Yes ❑ No Due Date Amount $
E. WAS AN IMPROVEMENT BOND ASSUMED BY THE BUYER? ❑ Yes ❑ No Outstanding Balance: Amount $
F. TOTAL PURCHASE PRICE (or acquisition price, if traded or exchanged, include real estate commission if paid)
TOTAL ITEMS A THROUGH E $
G. PROPERTY PURCHASED ❑ Through a broker ❑ Direct from seller ❑ From a family member ❑ Other (please explain):
If purchased through a broker, provide broker's name and phone number:
Please explain any, ial terms, seller,Cr�p�ncessions, or tinapc' g a. any other Jq rmation that woui help th Asses ``�r u erstand the
and terms of sale: ` . C L` �- f' S C",e
PART IV: PROPERTY INFORMATION
A. TYPE OF PROPERTY TRANSFERRED:
❑ Single-family residence ❑ Agricultural ❑ Timeshare
❑ Multiple -family residence (no. of units: ) ❑ Co-op/Own-your-own ❑ Manufactured home
Commercialllndustrial ElCondominium ElUnimproved lot
ElOther (Description: Le.. timber, mineral, water rights, etc. )
B. IS THIS PROPERTY INTENDED AS YOUR PRINCIPAL RESIDENCE? ❑ Yes ® No
If yes, enter date of occupancy / , 20 or intended occupancy !
(month) (day) (year) (month)
C. IS PERSONALIBUSINESS PROPERTY INCLUDED IN PURCHASE PRICE (i.e., furniture, farm equipment, machinery, etc.)
(other than a manufactured home subject to local property tax)? ❑ Yes ❑ No
If yes, enter the value of the personal/business property included in the purchase price $
D. IS A MANUFACTURED HOME INCLUDED IN PURCHASE PRICE? ❑ Yes ❑ No
If yes, how much of the purchase price is allocated to the manufactured home?
Is the manufactured home subject to local property tax? ❑ Yes ❑ No What is the decal number?
E. DOES THE PROPERTY PRODUCE INCOME? ❑ Yes ❑ No If yes, is the income from:
❑ Lease/Rent ❑ Contract ❑ Mineral rights ❑ Other (please explain):
F. WHAT WAS THE CONDITION OF THE PROPERTY AT THE TIME OF SALE?
❑ Good ❑ Average ❑ Fair ❑ Poor
Please explain the physical condition of the properly and provide any other information (such as restrictio s, etc.) that would assist the Assessor in detennir�g
the value of the property- C-x-+F;
OWNERSHIP TYPE (E)
Proprietorship ❑
Partnership ❑
Corporation
Other ❑
ADDRESS (typed or printed)
CERTIFICATION
20 .
(day) (year)
(Must attach itemized list)
I certify that the foregoing is true, correct and complete to the best of my knowledge and belief.
This declaration is binding on each and every co-owner and/or partner.
If a document evidencing a change of ownership is presented to the recorder for recordation without the concurrent filing of a preliminary
change of ownership report, the recorder may charge an additional recording fee of twenty dollars ($20).
VERIZON CALIFORNIA INC.
Right of Way Department
Maria G. Pineda — CAtu09M
201 Flynn Road
Camarillo, CA 93012-8058
(909)805-388-5409 Fax
maria.pineda-d 4erirnn.com
June 19, 2012
Reply To:
RIW# 108-543-12
Walling & Mc Callum
Attn: John G. Walling
45-190 Club Dr.
Indian Wells, CA 92210
Reference: APN: 773-104-035 & APN: 773-104-036
City of La Quints
Please be advised that the division and development of the above referenced assessor parcels will not
unreasonably interfere with the free and complete exercise of any casement(s) held by Verizon California
Inc. within the boundaries of said map.
Telephone facilities lying within said assessor parcel map whether by right of easement or otherwise are
subject to Verizon California Inc. rights, title and interest in and to said easement(s); and as such are
subject to charges for any relocation(s), quitcWm(s) or damage(s) caused by this development.
Any charges for relocation are the responsibility of the owner/developer, who must also provide Verizon
California Inc. with a suitable replacement easement for relocated telephone facilities. These conditions
must be met prior to the commencement of any relocation.
This letter is not offered as a subordination of the company's rights, title and interest to said easement(s)
and as such, this letter should not be interpreted as a waiver of any of the provisions of said easernent(s).
Sincerely,
Maria G. Pineda, R/W NAC
Specialist/Right of Way Agent
Verizon California Inc.
Finance Code: W3
City of La Quinta
Public Works Department
78-495 Calle Tampico
La Quinta, California 92253
PHONE: (760) 777-7075 FAX: 777-7155
APPLICATION FOR PARCEL MERGER APPROVAL
PARCEL MERGER applications are reviewed and approved by the Public Works Director pursuant to Chapter
13.36 of the Subdivision Regulations. The purpose is to allow merger of contiguous parcels or units of real
property, under common ownership.
+ + + ♦Q ••• + ••• •O ••♦ + ♦•♦ ♦♦• +♦•♦ ♦♦♦ ♦•♦ + •♦♦ ♦•• ••♦ ♦♦• O♦ ♦♦• ♦♦i ♦♦♦ ♦♦• ♦♦• ♦♦• O.O♦ •♦• O♦ ♦•♦ Oa •♦♦ ••i ♦•• •e ♦•• •♦• ♦♦♦ ♦♦♦ .•• ••• O♦ ••i O♦ 4e, ♦♦♦ ♦•• ♦♦. ♦+♦
APPLICANT —/ 0
�Pfint)
MAILING ADDRESS qg 41, l jof� s f Phone NcUtcl) S' 3 8 -13000
CITY, STATE, ZIP:_I 0I Al ve r A !qO C-O � Fax No. ( Jd 3 � $- 80 (3
PROPERTY OWNER (If different) :
(Print)
MAILING ADDRESS
CITY, STATE, ZIP:__
Phone No.
Fax No.
MERGER LOCATION: g� ' V61'k . /Lj60'4e � N1q
Assessor Parcel Number
of Parcels to be Merged: Parcel 1 T� - 10 - d S
Parcel 2 -;V, - �Tl -
Parcel3 - -
Parcel 4 -
APPLICABILITY:APPLICABILITY:(Attach _ additional sheets, if necessary)
Merger may be processed if the following requirement is satisfied:
t ❑ At least one of the affected parcels is undeveloped by any structure for which a building permit was issued
or for which a building permit was not required at the time of construction, or is developed only with an
accessory structure or accessory structures, or is developed with a single structure, other than an accessory
structure, that is also partially sited on a contiguous parcel or unit.
CADocuments and Settings\azarco\Desktop\Parcel Merger Approval.doc
CRITERIA FOR APPROVAL:
To obtain approval of a merger, the following criteria shall be met:
f
f❑ The merger complies with the standards specified in Section above.
❑ The parcel will be consistent with the zoning of the property.
❑ The parcel will not conflict with the location of existing structures on the property.
❑ The parcel will not be deprived of adequate access as a result of the merger.
{ ❑ Access to adjoining properties will not be restricted as a result of the merger.
❑ No new lot lines are created by the merger.
MINIMUM SUBMISSION REQUIREMENTS:
❑ Existing grant deeds or title reports for all affected parcels.
❑ New, original, unrecorded Certificate of Parcel Merger for each resulting parcel with the following:
❑ Correct legal description of the merged parcel and the statement, "This Certificate of Parcel Merger"
reflects Parcel Merger No. - . as approved the City of La Quinta."
❑ Completed Certificate of Parcel Merger No. , "Exhibit A"
❑ Completed Certificate of Parcel Merger No. , "Exhibit B" - Plat showing merged parcels
❑ Completed Site Plan, showing merger parcels and existing structures and improvements; if any.
❑ If metes and bounds legal description is used for merged parcels, closing calculations shall be
submitted.
❑ Filing fee for Parcel Merger. If filing multiple applications, the most expensive application will be
charged full fee, with remaining related applications discounted 50% for each.
❑ Assessor's Plat
❑ Copy of record map which created or amended parcels or proof that the parcels were legally created
(a deed for the property recorded prior to March 4, 1972 is acceptable).
❑ Please download, complete and submit the following required forms from the County of
Riverside--2��ebsite-h sid asrcllaec.camlfo More.as
✓ Documentary Transfer Tax Affidavit (ACR 521)
✓ Preliminary Change of Ownership Report (BOE 502 A)
❑ A check made out to the County of Riverside http://riyerside.asrclkrcc.com/forms/Fee°fv20S_chedule.pdf
for Basic Record irig Fees to be calculated as follows:
o First Pages 0
0
_-
o Each Additional Page $3.00
o Surveyor Monument Preservation Fund $10.00
(Please refer to the County of Riverside link above for updated fee schedule information)
SIGNATURE OF APPLICANT --2-1?A DATE rL
NAME OF APPLICANT
(Please print)
SIGNATURE OF PROPERTY OWNER(S)
IF NOT SAME AS APPLICANT: DATE
NAME OF OWNER
(Please print)
(Separate written authority by owner to submit application may be submitted)
NOTE: FALSE OR MISLEADING INFORMATION GIVEN IN THIS APPLICATION SHALL BE
GROUNDS FOR DENYING APPLICATION.
CADocuments and Settings\azarco\Desktop\Parcel Merger Approval.doc