HomeMy Public PortalAboutShoreview Tract No 8 99-S-27SHOREVIEW TRACT NO. 8
/1. Sub. of Lots 24-25-26, B1k. 6
A. Resub. of Lot 11, Block 3,
3. Resub. of Lots 5, 6 and Adj. Acreage, Blk. 2
4. Resub. of Lot 9, Block 1
Deur Sir:
CITY OF SAN MATEO
CIVIC CENTER, SAN MATED
DATE: September 1, 1959
Pursuant to Section 3 (a) of Ordinance #572, City of San Mateo, an
ordinance relating to the subdivision of lase t n_Yive lots, the following
subdivision has been made as of: , Xha977
(Date)
DESCRIPTION:
Resubdivision of Lot 9, Block 1
Nap No. 8 Shoreview Tract
San Mateo, California
A copy of the approved map, showing said subdivision and signed by the
City Engineer, City of San Mateo, is attached herewith for applicant;
Belle Haven Realty Co.
1420 Bast 3rd Avenue
Van Mateo, California
Additional copies of the map of said subdivision are on file or being
forwarded to the following municipal and county officers':
City Engineer, City of San Mateo
City Clerk -Assessor, City of San Mateo
Building Inspector, City of San Mateo
Planning Commission, City of San Mateo
County Assessor, County of San Mateo
Very truly yours,
N. B. SMITH
CITY ENGINEER
CITY OF SAIv MATEO
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BELLE fi4VE,I•1 REALTY CO.
142Q_EAST .;RG, .__
SAN rnASEO_,_ CAL 1E,
C.v e 1. t '' '
C1 : ! OF S f . —EC;,
ESUBCIVIS10N OF LOT 9, BLOCK I
MAP NO. 8 SHORE VIEW TRACT
S; fl wt i'EO, CALIF.
JULY 1959 SCALE int6O'
W. D. SOULE GO. CIVIL ENGINEERS
Reg. C.E.No.4470
SEP 1 1959
SUBDIVISION of
Fewer Than Five Cots, Sec. 139.20
Application to the City Engineer,
City of San Mateo.
Dote Received- U
Checked by M y� / r'y.�r �'/✓
Verified by -
Approved by
Ci v E.4 ���+ 9
nalna.r Dor
APPLICANT
Name Belle Raven Realty 0o., Date July 13, 1959
Address 1420 East 3rd Ave - San Mateo _Telephone Di 4-6327
PROPERTY Map no. 8
Lot._ 9 Stock 1 Subdivision Shore view TraQtvning Classification C - 1
Legol Description Tot 9 in Block 1 as shown on Map No. 8 Shore View Tract
--San-Mst.,-Calif. recorded June 2', 1944 in Snot- 741 nt Mem at
—pages 25,26,27 & 28 - San Mateo 0ounty records.
ASSESSMENTS
Unpaid assessments against property none
Resolution of Intention regarding some. No.
MAP OF PROPERTY
A map of the property (see sample map on bock side) 8thx11 or 11x17 inches in size drown on cloth or tracing
paper shall be submitted with the application and shall show: oll existing and new property lines, dimension and
bearing of every lot line, all existing structures and distances from proposed property lines, all easements, all
abutting streets including names, right of way widths and curb to curb pavement widths; plus any other pertinent
information as may be necessary or required by the City Engineer.
Following notification of approval by the City Engineer, oppliont shall furnish to the City Engineer six blue line
prints of said map.
FEE $ 2.00
SEWERS
In the event the City Engineer determines that any work is required to provide a sanitary sewer to any parcel
herein created, o faithful performance deposit satisfactory to the City Engineer shall be made with the application.
APPLICATION:
I, the undersigned owner of record of the property herein described apply for subdivision of said property
os shown on map attached to this application and hereby certify that the information shown herein and on the
attached mop is true and correct to the best of my knowledge and belief.
Respectfully submitted,
Nome 18 LTA HAV LTYEN P tL cto.
(Word
Owner of (Word
AddressJ.420 East 3rd, Ave. Lan Mateo, California
Date July 1A,- 1959
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'21./2' 6127' 493.6/'.
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lb ?4
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IN $ Gel 0.
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z
OWNER 6��� m,,,„u
3/c/NA TV RC
4DORE55 3a!! i # .
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rig Z. Nu$ SIT 9-
are /Abet Pin nay. JET �-
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50' a/w
4o'
CITY ENG.//PEER
C/TY OF 54N M4TEO
RESU/30/t//S/ON OF LOTS It 2, BOCK Z JOWNSON 5030/V/SIoN
SAN M4TEO, CALIF
FRaNK E S/MA5ON - Civil ENGJ/YEER
54/v MATEO, Catie:
5URatt 6: M•
nw6. EL./?
Tog RoeeRr E Duncan
476 - 52 NO AVE., SAN Marc -o
Scare /"-50*
DATE : FEo. 26, /95'9
Date
TO: 0, B. Hempstead, County Assessor
Court House
Redwood City, California
Dear Sir:
July 13, 1959
You are hereby requested to assess the following c;escribed
property:
Lot 9 in Block 1 - Map No. 8 Shore View Tract San Mateo, Calif.
as recorded on June 22, 1949 in Book 30 of Maps at pages 25, 26,
27,28 - San Mateo County records.
as per parcels
"An and "B"
shown on the attached map.
� HAVEN ALTY CO.
NER
-C 7
1420 last 3rd. Ave.
ADDRESS
San ,gleteo jig itornia
CITY AND STATE
LESS THAN FIVE LOT SUBDIVISION
CHECK OFF S}HS&T
To: File
From:
Re: Resubdivision of
1)
2)
3)
4)
5)
Date 6/2 4114-9
L 0 T 9 j5/9c/c' / e'J
Application Fee Received. Receipt No. 1_92
Zoning
Closure -
Minimum Area
[ ercial r-1 Residential
LJ 5,000 Sq. Ft. ('16,000 Sq.Ft. E 10,000 Sq.Ft.
Assessments outstanding:
ET/None
0 Paid off as follows:
0 Bond split as follows:
6) Ordinance Requirements:
Clearance of existing structures to lot lines
No. of -per Lot 0 One Unlimited
Average Width ID 50 Sq.Ft. 0 60 Sq. Ft.
Frontage on Public Street (30' Min.) r -/c .-. e
7) Sewer lateral to each parcel
Existing
U To be, -installed. Deposit of $
lateral for parcel (s)
LNOT.E: $250.00 deposit per lateral)
received guarantee
r —
RECEIVED FROM
THE SUM OF. •
—....—.—._.�.._._.—
To BE CREDITED To THE FOLLOWING FUND ACCOUNTS:
ACCOUNT
NO.
FUND
NO. AMOUNT
DE A I L
1161/-5M-1058
SUBDIVISION
Copy to:
(1) City Engineer
(2) City Clerk -Assessor
(3) Building Inspector
(4) Planning Commission
Mailed Copy to:
(1) Owner
(2) County Assessor
C/' /,��/j� Trc un
'�f� DEPUTY
OF - .S THAN FIVE LOTS
Date Recd. Initial
57 4
///-9 e
Date Mailed
OAT
/',47
60
Initial
Dear Sir:
CITY OF SAN MATEO
CIV:C CENTER, SAN MATE
DATE:
lkr eaves 3,
Pursuant to Section 3 (a) of Ordinance #572, City of Ban Mateo, an
ordinance relating to the aubiivision of less than five lots, the following
subdivision has been made as of: , 100
DESCRIPTION:
(Date)
.;s.:.nitielea of Leta j, b sad Acjolntn.: Acreage, 'sZP** 2,
a� rio. 8 5ten Tim, tract, vas Massa, i ,,►seam
A copy of the approved map, shoving said subdivision and signed by the
City Engineer, City of San Mateo, is attached herewith for applicant:
wtewot Stares, Inc.
ji vestal: ATai.a
.an lraastse., 4.1a111carsia
Additional copies of the map of said subdivision are on file or being
forwarded to the following municipal and county officers:
/City Engineer, City of San Mateo
City Clerk -Assessor, City of San Mateo
Building Inspector, City of San Mateo
Planning Commission, City of San Mateo
County Assessor, County of San Mateo
Very truly yours,
. `J
N. B. SMITH
CITY ENGIMER
CITY OF SAN MATEO
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LEGEND:
De. -20A -, Set .74' AR Mon.
Oenc
Fd 4p•' [P. non
'aq RE 7328
OjriEQ Safeway 7t.ores.fr Incojporatec?
r� •-:' i •L .►a re- i .c/ ,� :WV :;.! CITY E . ✓G / is/EE Q
ADDQESS '"15 Coca:, ;,venue CITY (-'r S A N MATEO
San Fran.;lsco, California
PE508D/Y/S/0N OF LOTS 46 AND AQ10/NiNvG 4JCRC 4GE 6iOCK /1AP Pra J 5110#E U:1,1 ;'r' re y: T
8,4 N /✓IAT £ J, CAL IFOR.N/A.
I'✓/LS EV E HAM, E/JG/N E E RS
M/LL9RAa", CAL/FORN.A
Survey Pr/
Dw9. E. A.
Far: SAFE WAY STORES /NC.
/5 Ocean AYE. San rmnc,sco, Ca/"r.
x'ak /WOO'
5s0. /9• S6
58- 238
5d-1238
SUBDIVISI011
Less Than Five Lots
Application to the City Engineer,
City of San Mateo.
Date Received_
-7-56
Checked by' ��
�r fnalnwdag Dnporhnwt
Verified by/1_2 •Nn . _di) e L.
Planning Enginwr
Approved by �.-
/%/f0
Date
to- 3o-Jf
Gtr
CDT hgtnw. Dat.
APPLICANT Safeway Stores, Inc.
Name
Please Typo w Mat
Address 15 Ocean
Date September 23, 1958
Avenue - San Francisco 12, California Telephone it 7-7560
PROPERTY
Lot 5 and 6 Block 2 & Adj. AereageSubdivision
Map No. 8
Sbore View Tra ne
Legal Description See Attached Descr .$ions
IMPROVEMENTS
Building or Structure
Main Store Bu.1Mng under Construction.
SETBACK LINES
Minimum setbacks at present. Front Rear Side Side
Minimum after proposed subdivision. Front Rear Side Side —
ASSESSMENTS
Unpaid assessments against property
Resolution of Intention regarding same. No.
MAP OF PROPERTY
A map of the property 817 by 11 or 17 by 11 inches in she drawn on cloth or tracing paper and showing street
names, dimensions, structures, and all other significant data must be annexed to this application. Six copies of the above
map are to be filed with the Planning Department upon approval of the application and map. A typical map illustrating
the nature and method of recording the data required is shown on the reverse sido of this form.
Fee —A fee of $2.00 is payable to the City of San Mateo at the time of filing this application.
APPLICATION:
1, the undersigned legal owner of the property herein described wish to apply for subdivision of said property as
shown on the map annexed to this application and hereby certify that the information shown herein and on the annexed
map is true and correct to the best of my knowledge and belief.
Respectfully submitted,
Name Safeway Stores, ncorporated
Address 15 oee-an Ave., S. F.
September 26, 1958
Date_
A10t /4lCa6
Lot 10
ici
ti
LOT 22
5./8'5$'25'E 230.00'
/2 ` STORN ORA/N
EASEMENT
(IO EASEMENT
/SPIMMIO Pool.
PARCEL 4
.54,,00 syf}.
N. MI' 53t2 !Y /69.00' ,v
83.6/'
'0 PAPGI(, f
250.25
N4° Z' IN AV , JOHNS
-NOTE-
6
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50'
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- - - 2`x2" Hub Set �-
'4 ` Iron Pipe Mon. Set -�
OWNER &ohd .UL it Ca -n
(5,a
ADDRESS '7C O,v — .
1 40'
C/TY £NO/NEER
CITY Of SAN MATEO
RESUBD/!//5/ON OfA PORT/ON 07 THE JOHNSON 5115D/Y/S/ON
SAN MATEO, GAL/FORN/A
FRANK E. 5/MPSON C/(//L ENca/NcvR
54N MATEO, CAL /F.
Suavn 6 M.
Avg. ,W1..5.
For. Robert Duncan
476 32nd Ave. San Malec?
n'Plral Mac
Scale /t50'
Noy 5, /95/
LEE E. HAM, PRESIDENT
CHARLES T. BLAIR, VICE PRESIDENT
WILSEY & I lAM ENGINEER-)
October 2, 1958
City of San Mateo
Engineering Department
City Hall
San Mateo, California
Attention: Mr. Francis Sullivan
Gentlemen:
File No. 58-1238
Enclosed are original tracing, filing fee, subdivision appli-
cation (less than 5 lots), and request for re -assessment for
proposed resubdivision of Lot 5 and 6, Block 2 and portion
of adjacent acreage, Shoreview No. 8, San Mateo.
When you have reviewed the application, if you have any
questions would you please call.
Very truly yours,
WILSEY & HAM
By
c
W. B. Wright
WBW:bp
Enclosure
— ONE ELEVEN ROLLINS ROAD • MILLBRAE, CALIFORNIA • PHONE OXFORD 7.4081
DESCR/AT/ON OF PARCEL 1
A// /hot certain real property situate in the City of Son Mateo. Stole of California described as )`o//ow
Beginning a/ the most' 5ov/herly Corner of Laf 6, Nock 2, as shown 0/7 that certain map tai/i/led MAP No. 8 SHORE We k/ TRACT
SAA/ MATEO, CAL/FORA//A"which map was recorded dune 22 /949, in Book 30 of Mops of pages 2s, 24, 27, and 28, Alec -anus or
Son Moto County, California; thence /from spiry Point of Beginning o/any the Sexcins s/er/y line of &id Lof 6, A/41' es' W 243.00'
to o porn/ thereon,
thence leaving Said 3bvfhwester/y tine Nye' 32"E 259.92' to o f omt on the Northeasterly hire of Said of wed tot 6 ;
thence along said Northeaster/y hna S 44/-'28'.5 263.00' to the most Eos/erly corner of said Lot thence along the sbu/hat/ezr/y hoe
of sold Lo 6 S 48° 32'W .2S,,. 92' to /he Pain/ of Beginning and contoinin9 /5493 Acres of /and more or less.
Together with an easement for S/ope Bank purposes eight (8) feet in wed/17 measured at r,9h/ any/as Narthmrs/rr// e4
oral/e/ and att./ace/of to, the course hereinabove described o's h' rJZ'E 159.92'.'
DESCRIPTION OF PARCEL 2
A// that certain real lbro/berty situate in the Ci/y of Son Mateo Sh/r of cn/irdrnio described as fo%ow:
Beginning of the most Sorither/y corner of I'o/5. Block 2, os shown on that certain molt enti/led"NAP NO. 8 SHORE 1//Eh/ TRACT
5AN MATEO, CAL/ FORA//A"which mop was recorded ✓vne 22 /949, in Book 30 of Mo,Gs of pates 423;26, 27, and 28, kirords of
San Moro County, Cb/ifern/b ; thence /2om said Rain/ of Beginning ofon9 the Southwesterly one of said Lols N 4/° 2B'W
64.83 to the rhos/ Westerly Corner of said Lot S, Block 2; thence o/an9 the Northwesterly line of Lot 5 N 4C'32'E 9788'/o /he
most Northerly Corner of said Lot; thence along the Norfhea sled)" /ine of Lot 4', 8/ock P, N42'241%54'4' 6.2u' to o point' thereon;
thence /eovin9 said Northeaster/, /ine N ye' 32"E 76.06'; thence A/7/•25', /82./2'; thence S 4A' 29' 35"W 8/.6 v' /o the Northwesterly
corner con+mon to lots 6 ono' it', Slack 2; thence a/overt the Northeasterly tine of Lo/ 6 5 r!/' 28't 37/0 to a peen/ thereon ;
thence leovin9 said Northeasterly line S S/8' 52"4' 255.92' to o pores a' /he Southweeterly line of Lot 6; thence otooq the
5ar.Whwes/erly /ihe of Loth N 4/' 28'!✓ 34 _ 92'to the Point of dernnin9 end containing 0.6747 Acres of tend nwre or /eel.
LESS THAN FIVE LOT SUBDIVISION
CHECK OFF SHEET
To: File
From:
Re: Resubdivision of „:"Tf
1) Application Fee Received. Receipt No. 74;55
2) Zoning
3) Closure - CA - %' f _
4) Minimum Area 15,000 Sq. Ft. (16,000 q FtS . ! 10,000 Sq.Ft.
Date / 41.2I B
(omaercial CI? Residential
5) Assessments outstanding:
None
Paid off as follows:
0 Bond split as follows:
6) Ordinance Requirements:
Clearance of existing structures to lot lines OA'
No. of-iieeMem erper Lot 0 One °Unlimited
Average Width
(1--50 Sq.Ft.
Frontage on Public Street (30' Min.
7) Sewer lateral to each parcel
Existing
0 To be installed. Deposit of $
lateral for parcel (s)
❑ 60 Sq. Ft.
(NOTE: $250.00 deposit per lateral)
received guaranteeing
—
of gaol, Mateo
TREASURER'S RECEIPT
RECEIVED FROM_
THE SUM OF... —.--- To BE CREDntin To THE Fouown<c FUND Acoowrs:
ACOOVNT FUND�
NO. NO. AMOUNT
O [T A [
r
IRA17-2M-1 .57
B
EpikE3tD M. POI I OCK.
ty Treasurer
DEPUTY
SUBDIVISION OF LEST` "Hal FIVE LOTS
Copy To:
Date Ree'd. Initial
(1) City Engineer /// %aa.
(2) City Clerk -Assessor /////5t '" •l(
(3) Building Inspector ,, Ss ,f
(5) Planning Commission
Mailed Copy To:
(1) Owner
(2) County Assessor
I 1 - S - se `V,1e .
Date Mailed Initial
0/C5C-ir 44ivnig
CITY OF SAN .•ATEO
CIVIC CENTER, SAN I ATEO
DATE:
Dear Sir:
lkvoas:,er ..14, 1953
Pursuant to Section 3 (a) of Ordinance #572, City of San Mateo, an
ordinance relating to the subdivision of less than five lots, the following
subdivision has been made as of: floveaber, 1Q}3
(Date)
DESCRIPTION:
haeubdtvlalon ...f :,,t 11, B..uek 3, Map I .
Wardev tract, Sao Swat), California
A copy of the approved map, showing said subdivision and signed by the
City Engineer, City of San Mateo, is attached herewith for applicant:
1-.7,1:,1 'Sara Realty Qa.
1420 Nast trisd Avast a
Sea Y4,tec,, California
Additional copies of map of said subdivision are on file or being
forwarded to the following municipal and county officers:
!(1)" -City Engineer, City of S -n Mateo.
City Clerk -Assessor, City of San Mateo.
Building Inspector, City of San Mateo.
Planning Commission, City of San Mateo.
County Assessor, County of San Mateo.
Vey truly your
NORMAN J,
CITY ENGINE
CITY OF SAN MATEO
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170.36'
—:=C_L A O
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70.38
N' 41'92 tir 300'
GARY M'✓E.
J4iNiEF BELLE H4 +/EN REALTY G0.
VPREWENT
B6
.u)
iiPPPOVECIAIlt/_ 2.4 /9-5.3
-`i
GI- ENG/in.
l: l 7" 'I' ,,:,F
RESaBDIVISION OF LOT II, BLOOK 3
t<'AP IVO.8 SHORE VIEW TRACT
SAN MATED, GAL/F.
NOVEMBER 1953 SCALE I"400'
W. 0. SOULE GO. CIVIL ENGINEER'S
REGISTE&�: ENGINEER NO.4470
bind
SUBDIVISION
Less Than Five Lots
Application to the City Engineer,
City of San Mateo.
Checked byy vYwv'erified b
illtre
Approved by
APPLICANT Belle Haven Realty Co.,
Date Nov. 17, 1953
P1..,. TYPe or hint
Address_1420 East Third Ave - den Mateo Telephone BI 4-6327
PROPERTY
dap No. 8 Commerical &
Lot 11 Blot 3 Subdivision bore View Traf3one Parking
Legal Description_Lot 11 - Block 3 Map No. 8 :shore View Tract, San
Mateo, Calif. Recorded June 22, 1949 in }cook 30 of Maps at
Tinges P5, g6,_27 end PR, RRrs°rds of San Mateo Oonnty
IMPROVEMENTS
BuildingorStructure Store buildings existing on Parcels C and D. store
building -being constructed on Parcel B
SETBACK LINES
Minimum setbacks at present. Front 0 Rear 0 Side 0 Side 0
Minimum after proposed subdivision. Front 0 Rear 0 Side 0
ASSESSMENTS
Unpaid assessments against property none
Side 0
Resolution of Intention regarding same. No %
MAP OF PROPERTY
A map of the property 81/2 by 11 or 17 by 11 inches in she drawn on cloth or +racing paper and showing street
names, dimensions, structures, and all other significant data must be annexed to this application. Six copies of the above
map are to be filed with the Planning Department upon approval of the application and map. A typical map illustrating
the nature and method of recording the data required is shown on the reverse side of this form.
Fei—A fee of $2.90 is payable fo the City of San Mateo at the time of filing this application.
APPLICATION:'- � `1
I. the undersigned legal owner of the property herein described wish to apply for subdivision of said property es
shown on the map annexed to this application and hereby certify that the information shown herein and on the annexed
map is true and correct to the best of my knowledge and belief.
Respectfully submitted,
Name Belle Haven Realty Jo,
Address - 1420 East Third Avenue V San Mateo, Calif.
Date November 17, 1953
S UJBJJ1/1 J0JY
..•••
•••
5•/8°53'25'£ 23o.00'
"IOs LOCMIN!
/,SW/NN/N6 Pool.
PARCEL 4
34,E .q•tit
57°p
WAY
.,SON
NOTE -
2"x2"Hub Set
'4" Iron Pipe Mon. Set
OWNER a9-162,71
i5/GNATURp
ADDRE55 1/C 3.0 e .
-s-
CITY ENO/NEER
C/T y of 5AN MATEO
RESU5D/V/5/ON OfA PORT/ON Of THE JOHNSON SUBDIVISION
SAN MATEO, CAL/TORN/A
PRANK E. 5/MP5ON OWL ENG/NEER
AN MATEO, CAL /F.
5unvtr G M.
Dwg. W.L.S.
for. Robert Duncan
476 32nd Ave San Mateo
5ca/c/=5O'
Nog 5, /95/
TVDlrbl \AAD
1"I;D 13iVin!V3 -11;;1'7 :,193&
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SUBDIVISION OF T"SS THAN FIVE LOTS
Copy To:
(1) City Engineer
(2) City Clerk -Assessor
(3) Building Inspector
(5) Planning Commission
Mailed Copy To:
(1) Owner
(2) County Assessor
Date Rec'd. Initial
� •S s.3
/is�
it. AO
bit fl
Date Mailed Initial
$ '7
'
CITY OF 3A\ MATEO
CIVIC CENTEE, SAS. MATEO
DATE:
Dear Sir:
Miro% "9.. 29?0
Pursuant to Section 3 (a) of Ordinance #572, City of San .Mateo, an
ordinance relating to the subdivision of less than five lots, the following
subdivision has been made as of:
Ja
DESCRIPTION:
•
etbdirialon of Iake 2425-26, Block 6,
Mp NO. a Sho=wier Tract, £.a Wino,
California.
A copy of the approved map, showing said subdivision and signed by the
City Engineer, City of San Mateo, is attached herewith for applicant:
21cwbrida4 :kuk
1X00 R. T1' r1 Ayes"n.
San Mateo, California
Additional copies of map of said subdivision are on file or being
forwarded to the following municipal and county officers:
City Engineer,
City of Sar, Mateo.
(2) City Clerk -Assessor, City of San Mateo.
(3) Building Inspector, City of San Mateo.
(!4) County Assessor, County of San Mateo.
(5) City Treasurer, City of San raateo.
(6) Planning Commission, City of San gateo.
fee
Very truly yours,
tTl UR H� 3ULLIV IN
CITY ENGINEER
CITY OF SAN A.ATEO
..,.L,., •
9/ sle,
Pe.
APPLICATION FOR SUH)IVIsION
OF LI SS THAN FIVE LOTS
DATE March 22, 1950
T0: City Engineer
City of San Mateo, Calif.
Pursuant to Section 3 (a) of Ordinance No. 572, City of can Mateo, I, the
legal owner of the property herein described, wish to apply for subdi-
vision of said property, as shown on the attached map, submitted with this
application. (Seven copies of map, size 8s x 11, must be submitted).
Leral Description: Resubdivision of Lots 24, 25 and 26, Block 6
Map No. 8 Shore View Tract, as recorded June 22, 1949 in
Book 30 of Maps on pages 25,26,27, and 28 San Mateo County
Records.
Present ?ening Claac'fie tion: First Residential R-1
Newbridge Park Realty Co.
(Owner's ' :m 5T-
1420 Bast Third Avenue
CPresent A F3cs of c w,:ci)--
San Mateo, Calif.
Is there a building or structure on the lot to bo subdivided? Yes ( ) No (r).
If answer to above question is Yes, will proper side setback lines be
maintained after lots are subdivided? Yes (a) No ( ).
Are there any unpaid assessments against the property now being sub-
divided? Yes ( ) No (a),
If answer to above question is Yes, state Resolution of Intention
Number
I certify that the above information is true and corre in all details.
NEr REM2Y MOW
NY
Cigna
Secretary