ASSIGNMENT OF ASLD ROW TO THE CITY OF AVONDALE.PDF
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TO BE COMPLETED BY ASSIGNOR(S) A.K.A. SELLER(S) CERTIFICATION: Pursuant to A.R.S. Title 37 and the Rules of the Arizona State Land Department, A.A.C. Title 12, Chapter 5, you must complete the following information pertinent to you and sign the certification. NOTE: Applicant must complete item #1. 1. Is this application made in the name of: (Applicant must check one) Individual(s) Husband & Wife Corporation Ltd. Liability Co. Partnership Ltd. Partnership Estate Trust Joint Venture Municipality X Political Subdivision Other (specify) 2. INDIVIDUAL(s) OR HUSBAND & WIFE: Complete the following for each applicant: NAME AGE MARITAL STATUS 3. CORPORATION: Complete the following: (A) Do you have authority from the Arizona Corporation Commission to transact business in the State of Arizona? Yes No (B) Is the corporation presently in good standing with the Arizona Corporation Commission? Yes No (C) In what state are you incorporated? (D) Is the legal corporate name and Arizona business address the same as stated in this application? Yes No If no, state the Legal Corporate Name: Address: (Street or Box Number) (City) (State) (Zip) 4. LIMITED LIABILITY COMPANY: Complete the following: (A) If an out-of-state limited liability company: Have you filed for a Certificate of Registration with the Arizona Corporation Commission? Yes No (B) If an Arizona limited liability company: Have you filed Articles of Organization with the Arizona Corporation Commission? Yes No (C) Are you authorized by the Arizona Corporation CommisSiOn to transact business in Arizona? Yes No 5. PARTNERSHIP OR JOINT VENTURE: Complete the following for each authorized partner or principal: NAME ADDRESS AGE MARITAL STATUS 6. LIMITED PARTNERSHIP: Is this limited partnership on file with the Arizona Secretary of State? Yes No Complete the following for the authorized general partner(s) only: GENERAL PARTNER(S) NAME BUSINESS ADDRESS 7. ESTATE: Complete the following and attach a copy of the court or estate document(s): Name of the court appointed administrator or personal representative: List the type and date of issuance of the court or Estate document: (Type of Document) (Date issued) 8. TRUST: (A) Complete the following pursuant to A.R.S. § 33-404, for each beneficiary of the Trust: NAME ADDRESS AGE MARITAL STATUS or (B) Identify the Trust document by title, document number, and county where document is recorded: 9. I HEREBY CERTIFY, UNDER PENALTY OF PERJURY, THAT THE INFORMATION AND STATEMENTS CONTAINED HEREIN, TOGETHER WITH ALL EXHIBITS AND ATTACHMENTS ARE TRUE, CORRECT AND COMPLETE AND THAT I/VVE HAVE AUTHORITY TO SIGN THIS DOCUMENT. SIGNATURE(S) Maricopa County, a political subdivision of the State of Arizona (Name of Corporation, Partnership, etc. Signature of Assignor (Individual, Trustee, Personal Representative, etc Signature Title Signature of Assignor (Individual, Trustee, Personal Representative, etc) (Signatures must be notarized on page 4) 6100-05/94 (Rev. 08/2016dw) Assign 3 ASSIGNOR(S) A.K.A. SELLER(S) NOTARY ACKNOWLEDGMENT STATE OF ARIZONA ) ) ss. County of ) On this day of , 20 before me, a Notary Public within and for said County, personally appeared and known to me to be the person(s) described in and who executed the same as free act and deed. (his/her/their) IN WITNESS WHEREOF, I hereunto set my hand and official seal. My Commission Expires: Notary Public STATE OF ARIZONA ) ) ss. County of ) On this day of , 20 before me, a Notary Public within and for said County, personally appeared and known to me to be the person(s) described in and who executed the same as free act and deed. (his/her/their) IN WITNESS WHEREOF, I hereunto set my hand and official seal. My Commission Expires: Notary Public 6100-05/94 (Rev. 08/2016dw) Assign 4 19630909_DKT_4722_409_3 Unofficial Document STATE LAND DEPARTMENT 422 Arizona State Office Building Phoenix, Arizona NO CHARCE R/W No, 3362 Racordad at Riqufit al patra 01 St 1 p e PAWS. RIGHT OF WAY THIS INDENTURE made and entered into thid 16th day of August 1963 , by and between the State of Arizona, hereinafter called the Grantor, and MARICOPA COUNTY BOARD OF SUPERVISORS of Phoenix , State of Arizona, hereinafter called the Grantee, WITNESSETH, that pursuant to the authority vested in the State Land Commis- sioner, the Grantee is hereby granted a Right of Way on, over and across the State lands hereinafter described under the Provisions of Article 10, Section 37-461, Arizona Revised Statutes. The granting of said Right of Way is predicated upon an application duly.filed bythe Grantee and approved by the Governor of the State of Arizona, together with an alignment map showing the definite location and establishing the width and acreage of said Right of Way, both of which are made and become a part of this permit. It is understood and agreed by Grantee that the State land covered by said Right of Way will be used for no purpose other than the location, construction, operation and maintenance of a highway on over and across these State lands running miles and/or containing 10:00 acres, more or less; and extendinga.widthof • feet on each side of the center line. TO HAVE AND TO HOLD the same as used for a County highway, but subject to the conditions and reservations herein set forth. IT IS UNDERSTOOD AND AGREED that: 1. The Grantee shall not sublet or assign the Right of Way herein granted, or any part thereof, without the written consent of Grantor first obtained, nor shall Grantee grant any franchise, permit or other Right of Way on the lands described herein, or any part thereof. • 2. The Grantor reserves the right to grant easements and Rights of • Wayfor public utilities and other purposes . over and across State • lands described herein, subject to the approval of the Grantee. t. 3. The Grantor also reserves the 'right, as provided by law, to grant to the United States Rights of Way and easements over, across or upon the lands embraced in this permit for canals, reservoirs, darns, power or• irrigation plants or works, railroads, tram- ways, transmission lines or other purposes for irrigation works in connection with any Federal Government reclamation project.. • The. Grantee will not permit any loss, nor commit or 'cause any waste in, to or upon said land; nor cut or remove nor allovrto be cut or removed any timber or standing trees that may be 'upon said land, save and except only such as may be necessary for the improvements of said land, (and then only with the written con- sent of the State Land Co .mmissiimer) or for fuel for the domestic use of said Grantee; provided :that nothing herein contained shall be .construed to permit the cutting of Saw timber for any purpose, . . 5. The Grantor excepts and reserves out of the grant hereby made • all oil, gases", coal, ores, limestone, minerals, fossils, and fer- tilizer of every name and description that,inay be found in or upon the land described herein, or any part thereof; and the lands . . herein described are subject to the execution by Grantor of drir•• ling.perrnits.and 'leases for the : purpose. of prospecting for,. and the extraction of oil,. gases, Coal, ores; limestone, minerals,, fossils and fertilizers . as provided by law, bwi 4 72:, 06409 19630909_DKT_4722_409_3 uKi 472? rAcE410 • 6, The said Grantee shall give Grantor notice inwriting of the aban- . donment of said premises or termination of these presents, and upon receipt of such notice, or upon evidence of abandonment of said highway by nonuse, this lease shall be cancelled, Description of land teased contained in Lease Supplement attached hereto and made a part hereof, STATE LAND DEPARTMENT PHOENIX, ARIZONA LEASE SUPPLEMENT 17• MAR ICOPA CO HIWAY OPT —1 IIIIIIIPIE 4701 E WASHINGTON ST .0 LF.ASE OR PHOENIX ARIZ. 85034 AIR REFERENCE NO. L_ /ACCOUNT FUND j SUB. NO. DESCRIPTION ' S EC. TWP. RANGE lr ACREAGI -. 1 30 THRU S2S? . 36 1N1W 10b0 10b0* Unf6clal Donrnert • • /619 ROV 0 • Aid° , , t. - - . uATE TE LAtvr, COMMISS.ONE Iptibcom Courm 19630909_DKT_4722_409_3 NOW THEREFORE, in accordance with the Provisions of Section 37-461, Article 10, Arizona Revised Statutes, and agreeable to the conditions heretofore set forth, the Grantee herein is authorized to locate, construct, operate and maintain said Right of Way on, over and across the State lands described herein. IN WITNESS WHEREOF, the said Grantor has caused these presents to be signed in duplicate by said Grantor, at Phoenix, Arizona, on the date and year first above written, and the said Grantee has caused these presents to be executed by its duly authorized officer at the place and on the date and year as set forth herein. STATE OF ARIZONA, GRANTOR • . L 4 11 ) 3 (S EA /44 ''• ..... Signed in the County Maricopa State of Arizona, on•this . day September. By: TITLE " A-81-1 3-6-59 V Oh r 4 722 r 4fl