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r <br />Attachment C <br />INDIAN RIVER COUNTY <br />Application for Amendment of Land Use Designation <br />DATE RECEIVED: DATE ACCEPTED: <br />APPLICANT: <br />ADDRESS: <br />PHONE: <br />OWNER: <br />PHONE: <br />ADDRESS: <br />EXISTING LAND USE DESIGNATION: <br />REQUESTED LAND USE DESIGNATION: <br />ACRES TO BE REDESIGNATED: <br />EXISTING USE: <br />PROPOSED USE: <br />The following items must be attached to the application: <br />1) If tie applicant'Is other than; ;tie owher ( s) , °a sworn' <br />statement of authorization 'must accompany each copy:of this' <br />application. , <br />2) A verified statement naming every individual having legal <br />or equitable ownership in the property. <br />3) A copy of the owner's deed must accompany each copy of this <br />application. <br />4) A -current owner's title policy, --a certificate of title from <br />A title company, or an attorney's opinion evidencing fee <br />ownership of the property. <br />5) If the property is not located within a recorded <br />subdivision, a copy of a survey of the subject property must <br />accompany each copy of the application. This survey <br />must also indicate the location and type of all adjacent <br />land uses within 300' of the subject property. <br />Although,'the surrounding uses need not be surveyed. <br />6) A check, money order or cash in the amount of $ , made <br />payable to the Indian River County Board of County Commis- <br />sioners. <br />MAY 4 1983 53, no 455 <br />