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2.2 & 2.3 - Notorized Ballot & Petition

Chino City Council
January 16, 2024

Document
2.2 & 2.3 - Notorized Ballot & Petition
Meeting
January 16, 2024
Body
Chino City Council
Pages
4
Original file
1.5 MB
Text extracted from the city's file for reading and search. Open the original on chino.legistar1.com. That file is the official record.

City Clerk
City of Chino
13220 Central Avenue
Chino, CA 91710

OWNER OF PROPERTY
Phuong Thi Pham
14085 Magnolia Avenue
Chino, CA 91710

ASSESSMENT BALLOT FOR THE CITY OF CHINO
LANDSCAPING AND LIGHTING DISTRICT No. 2002-1
ZONE 88 - SITE APPROVAL PL17-0082
(MANIFEST DESTINY TRUCKING CORPORATION)
ASSESSOR'S PARCEL NUMBERS:
1021-261-020
Current Assessment for Fiscal Year 2023-24 is $280.95
The Property Owner selects one of the following:

IN FAVOR OF ASSESSMENT

OPPOSE ASSESSMENT
Uhp
Signature of Property Owner Signature of Property Owner If the Property Owner shown above is incorrect, notify the City Clerk immediately.) The Ballot may be hand delivered or mailed to the City Clerk at the following address:

City Clerk
City of Chino
13220 Central Avenue
Chino, CA 91710
In order to be counted, the Ballot must be received by the City Clerk by the time of the Council meeting that is set for Tuesday, January 16", 2023 at 6:00 p.m. The Council meeting will take place at the following location:

City Council Chambers
13220 Central Avenue
Chino, CA 91710
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 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 12/20/2023 before me, _ Ramanye sor ame and Thie of tho oracer , Notay Pablic Date
personally appeared Phuong Thi Pham
Name(s) of Signer(s)
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 RAMANJOT SINGH is true and correct.

Notary Public - California
Los Angeles County WITNESS my hand and official seal.

Commission # 2397153
My Comm. Expires Mar 16, 2026
Signature
Signature of Notary Public
Place Notary Seal Above
- OPTIONAL
Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document.

Description of Attached Document
Title or Type of Document: Document Date:

Number of Pages: Signer(s) Other Than Named Above:

Capacity(ies) Claimed by Signer(s)
Signer's Name: Signer's Name:
• Corporate Officer - Title(s): • Corporate Officer - Title(s):
• Partner - O Limited O General • Partner - • Limited • General • Individual • Attorney in Fact • Individual • Attorney in Fact • Trustee J Guardian or Conservator • Trustee • Guardian or Conservator • Other: • Other:

Signer Is Representing: Signer Is Representing:
©2014 National Notary Association • www.NationalNotary.org • 1-800-US NOTARY (1-800-876-6827) Item #5907 LLMD Petition

Page 4 of 4 ends

PETITION
(Including Waivers)

CITY OF CHINO
LANDSCAPING AND LIGHTING DISTRICT No. 2002-1
ZONE 88 - SITE APPROVAL PL17-0082
(MANIFEST DESTINY TRUCKING CORPORATION)

ANNEXATION PROCEEDINGS
City Council
City of Chino
13220 Central Avenue
Chino, CA 91710
The undersigned, for and on behalf of the landowner (the "Owner") indicated below, hereby represents) and warrants) as follows:

They are duly authorized representatives of the Owner, authorized to make contracts by the corporate by-laws of the Owner or by resolution of the Board of Directors of the Owner, and are authorized to execute this Petition (including Waivers) for and on the behalf of the Owner.

The Owner is the sole owner of all the land identified by San Bernardino County Assessor's Parcel Numbers below (the "Land"), and there is no mortgage or deed of trust encumbering any of the Land.

3. The Owner hereby petitions the City of Chino to undertake special assessment proceedings under the Landscaping and Lighting Act of 1972, being Division 15, Part 2, of the Streets and Highways Code of the State of California.

4. The Owner hereby acknowledges that:
a. The costs of maintenance will be charged to the Land in accordance with the special benefits received from the improvements, as determined by the consultant Albert A.

Webb Associates and the City of Chino Public Works Director.

A report has been prepared regarding the improvements (the "Report"), including plans and specifications, a detailed cost estimate and assessment diagram, a map showing the exterior boundaries of the Zone to be annexed and a division of the costs among the benefited parcels of land, and the Owner has received and reviewed a copy of the Report and concurs with the information contained therein.

The Owner has received a ballot in conjunction with an election regarding the Zone to be annexed that must be returned by the Owner and received by the City Clerk within the time specified. Ballots will be tabulated before completion of the Zone annexation proceedings and only those ballots returned will be counted.

LLMD Petition

Page 1 of 4 ends

d. Ballots will be weighted according to the respective amounts of the individual assessments and, if the amount of the assessments represented by "NO" votes is greater than the amount of the assessments represented by "YES" votes, the proposed assessments will not be levied.

The cost of engineering, legal and other incidental costs will be included in the amounts to be assessed in the proceedings with respect to the Zone to be annexed

5. As the owner of all of the land within the Zone to be annexed, the Owner hereby waives the following:

Investigation proceedings and all other provisions of the Landscaping and Lighting Act of 1972, being Division 15, Part 2, of the Streets and Highways Code of the State of California.

Any public hearing, and notice thereof, otherwise required by the Landscaping and Lighting Act of 1972 for the annexation of the Zone. The Owner further consents to the approval by the City Council of the Report for the Zone annexation in the form on file in the office of the City Clerk.

Any requirements of Article XIII D, Section 4(e) of the California Constitution and Section 53753 of the California Government Code with respect to notice and a hearing regarding the Zone annexation. The Owner further waives the requirements of Section 54954.6 of the California Government Code with respect to the Zone to be annexed and the assessment proceedings, pertaining to public meetings and public hearings. d. The Owner shall, to the fullest extent permitted by law, indemnify, defend, and hold City of Chino, its elected and appointed officials, commissions, officers, agents, employees, and authorized volunteers harmless from and against any and all actions, suits, claims, liabilities, losses, damages, penalties, obligations, and expenses (including but not limited to attorneys' fees, expert witness fees, and court costs) that may arise, directly or indirectly, from the submittal of this Petition.

6. In order to expedite the Zone annexation proceedings, the Owner further:

Waives any and all right to institute any lawsuit or legal proceedings to challenge any aspect of the assessment proceedings or the Zone annexation which might in any way affect or call into question the validity of the assessments levied.

LLMD Petition

Page 2 of 4 ends

San Bernardino County Assessor's Parcel Number of Land Owned Within Proposed Zone 88:
1021-261-020
MANIFEST DESTINY TRUCKING CORPORATION:

By:

Signature/Date
Phuong Thi Pham
Property Owner
NOTE: SIGNATURE(S) MUST BE NOTARIZED
LLMD Petition

Page 3 of 4 ends

CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed th locument to which this certificate is attached, and not the truthfulness, accuracy, or validity of that documen State of California
County of_ Orange
on 12/20/2023 oro me, Ramanyot Sinh, Nota y Inhlic
Date Here Insert Name and Title of the Officer
personally appeared Phuong Di Tham
Name(s) of Signer(s)
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.

RAMANJOT SINGH
Notary Public - California
Los Angeles County
Commission #2397153 Signature
My Comm. Expires Mar 16, 2026 Signature of Notary Public Place Notary Seal Above
- OPTIONAL
Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document.

Description of Attached Document
Title or Type of Document: - Document Date:

Number of Pages: Signer(s) Other Than Named Above:

Capacity(ies) Claimed by Signer(s)
Signer's Name: Signer's Name:
• Corporate Officer - Title(s): • Corporate Officer - Title(s):
• Partner - • Limited • General • Partner - • Limited • General • Individual • Attorney in Fact • Individual • Attorney in Fact • Trustee • Guardian or Conservator • Trustee • Guardian or Conservator • Other: • Other:

Signer Is Representing: Signer Is Representing:
©2014 National Notary Association • www.NationalNotary.org • 1-800-US NOTARY (1-800-876-6827) Item #5907 LLMD Petition

Page 4 of 4 ends
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