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SAINT LUCIE COUNTY PROPERTY APPRAISER JUN 15 201$
REQUEST FOR REAL PROPERTY SPLIT/COMBINAT {}�
`S"'f'. Lucie County, Permitting _
Notice:'
While the Saint Lucie;County .Property Appraiser's office makes every effort ta:naintam the most current and ac'
curateinformation
possible,:there are.no warranties expressed or rnphed:for our data, its:use,.oi;its interpretation -;:The data maintained:by this office is
developed,.and,collecied.for the purpose ofproducing apropertyaax roll and as'such should`not be relied upon as legal determination of title
and/or boundaries.
BEFORE 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)
ACTION REQUESTED: COMBINE l7J SPLIT❑ THE FOLLOWING PARCEL(S):
3402-608-0326-000-0 3402-608-0327-000-7
Special Comments or Instructions: t
Is parcel vacant?1/ I or improved?-L If improved,indicate location of building(s)
(Identify by parcel&address)
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 am/are the owner(s)of record or the legal agent for the owner(s)of record,and that Uwe may be required to
provide recorded proof of such ownership or agency. If acting as agent,written proof of a enc is s 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.
s
b. If the property is mortgaged,I/we must notify all mortgagees associated with the properties listed above.
SIGNATURE,Owner Datel SIGNATURE,Agent Date
�L M uSCm un
P ,Owner PRINT,Agent
Mailing Address: 1601 Bradley St
Fort Pierce, FL 34982
Phone: Horne 772-924-6517 -772- 24-4399 Fax
FOR USE BY PROP R Y AP R'S OF ONLY 1� i
Date 1d ��-
Order taken by. A �: