Recording requested and when recorded mail to: _________[name and address]

Notice of Revocation of Consent To Use Land

[California Civil §813]

PLEASE TAKE NOTICE THAT the undersigned record owner of the real property located in _________[name of County] County, California more specifically described as _________[legal description] ("real property"), hereby revokes

_________[if prior Notice of Consent was recorded, insert: the Notice of Consent to Use Land that was executed by the undersigned on _________ and recorded in the Office of the County Recorder of _________ County, California on _________, at Book _________, Page _________].

_________[if prior notice was not recorded, insert: any and all consent previously granted to use of said real property, including but not limited to revocation of any right of the public or any person to make any use whatsoever of the above described land or any portion thereof (other than any use expressly allowed by a written or recorded map, agreement, deed, or dedication)].

The undersigned is the _________[record holder or agent for the record holder] of title to said real property.

Dated: _________