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SAINT LUCIE COUNTY PROPERTY APPRAISER MA2011
REQUEST FOR REAL PROPERTY SPLIT/COMBINATION W
: .... I ..................
Notice: While.the Saint Lucie County Property Appraiser's office makes every effort to maintain the most current and accurate information
possible, there are no warranties expressed or implied for our data, its use, or its interpretation. The data maintained by this office is
developed and collected for the purpose of producing a property tax roll and as such should not be relied upon as legal determination of title
and/or boundaries.
BEFOREI AN APPLICATION FOR A PARCEL SPLIT / COMBINATION CAN BE ACCEPTED
ALL PREVIOUS / CURRENT TAXES MUST BE PAID IN FULL
(Attach a copy of receipt / bill indicating paid in full)
VAN
THE FOLLOWING PARCEL(S):
Special Comments or Instructions: Please combine ASAP per SLC Building and Zoning Dept
Is parcel vacant? I /'\ I or improved? If improved, indicate location of building(s)
7
(Identify by parcel & address) 5507 Sunset Blvd and Vacant Adj Lot
Title must be the same for all parcels being combined.
IN MAKING THIS REQUEST, I RECOGNIZE AND AGREE TO THE FOLLOWING:
1, This action does not nullify or alleviate any existing liens or encumbrances on the properties, and the Property
Appraiser is not responsible for any problems or complications resulting from this action I/we have requested.
2. That this action will be completed by the Property Appraiser's office on a non-priority basis, "first come -first served'.
3. That I/we an -dare the owner(s) of record or the legal agent for the owner(s) of record, and that I/we may be required to
,provide recorded proof of such ownership or agency. If acting as agent, written proof of agency is required.
4. That the Property Appraiser is not responsible for errors arising from errors or omissions in surveys or other
information submitted in connection with this request.
5 That I/we have verified with the St. Lucie County Planning Department or other Jurisdictional Agency as to what
adverse effects, if any, this split/combination may have on the property.
6. If the property is mortgaged, I/we must notify all mortgagees associated with the properties listed above.
SIGNATURE, OvvfiWX"4"Dat��
Michelle Vrotny
PRINT, Owner
Mailing Address: 5507 Sunset Blvd
Fort Pierce, FL 34982
Phone-, Home 772-801-7639 Work
SIGNATURE, Agent Date
PRINT, Agent
Fax
FOR USE BY PROPERTYPPRAISER'S OF IC
AY9Order taken by: t Date