Laserfiche WebLink
Exhibit A <br />[use if Property Owner is an individual] <br />Signed in the presence of the <br />following witnesses: <br />sign: <br />printed name: <br />sign: <br />printed name: <br />STATE OF FLORIDA <br />COUNTY OF <br />By: <br />printed name: <br />The foregoing instrument was acknowledged before me by means of physical presence or <br />online notarization, this day of , 20 by who <br />is either <br />_ Personally known to me <br />OR <br />Produced Identification and <br />Type of Identification Produced: <br />Notary Public <br />printed name: <br />Commission # <br />Commission Expiration: <br />[SEAL] <br />INDIAN RIVER COUNTY, FLORIDA <br />Signed in the presence of the County <br />following witnesses: <br />sign: By: <br />printed name: Phillip J. Matson <br />Community Development Director <br />Per Resolution 2020 - <br />sign: <br />4 <br />