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I <br />INDIAN RIVER COUNTY DEPARTMENT OF UTILITY SERVICES <br />PRELIMINARY PETITION FORM <br />�? atow." PROPOSED WATER MAIN ASSESSMENT — Winter Beach Park & Portion of Winter Beach Highland <br />51St Avenue from 651h St to 691h St <br />Parcel No. 32390900003000000007.0 <br />Site Address: 6626 S1ST AV <br />Owner Name: BENTON, TRISHIA N & CRAIG M <br />Mailing Address: <br />TRISHIA N, CRAIG M BENTON <br />6626 51ST AVE <br />VERO BEACH, FL 32967 <br />Legal Descrintion: <br />WINTER BEACH HIGHLANDS LOT 7 PBI 6-58 *Please sign & return* <br />This proposed water main assessment project will be completed as an equal -share assessment, below is the amount <br />property will be assessed base on Indian River County's construction cost: <br />Assessment (Construction) Cost per Lot: $9,400.00 <br />Based on the information packet you have received for the proposed water assessment project, please check one of the op <br />below Vdrrn to Indian River County Department of Utility Services. <br />YES — In favor of the proposed Water Assessment Project. <br />NO — Not in favor of the proposed Water Assessment Project. <br />The undersigned petitioner respectfully requests the Board of County Commissioners of Indian River County (the "Cour, <br />undertake measures to establish a Water Assessment Program ("Project") pursuant to Ordinance 81-27 (the "Ordinance" j <br />more particularly set forth, shown, proposed and agreed hereafter. <br />Signature: Owner Date: S gnature: econdary Owner Date: <br />Signature: Trust Date: Signature: Trust <br />Date: <br />NOTE. Please Review <br />1. Properties under a trust: you must provide the trust document and or the warranty deed, only the personiper;,ons who are authorized to sign or the Trus <br />sign the petition. If there are multiple Trustees, then all have to sign the petition. <br />2. Property under multiple ownership: A minimum of 51% must sign the petition. Example: If two then bot, need ,,o sign_ If three then two need to sign. <br />3. Property under husband & wife without secondary owners filled out iProperWAop�a_�i�er's slte-j Then one signature either from the husband or wife is ad <br />Indian River County — Utility Department will not move forward unless 66.71; majority is In favor of the project and the three requirements lis <br />above are met. This petition must be received by Indian River County Department of Utility Services by December 31, 2019. Late petitions <br />be counted as "Not in Favor." <br />114 <br />