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INDIAN RIVER COUNTY DEPARTMENT OF UTILITY SERVICES <br />sA �s PRELIMINARY PETITION FORM <br />>cifi►o` PROPOSED WATER MAIN ASSESSMENT — Winter Beach Park & Portion of Winter Beach Highlands <br />Parcel No: 32390900005000000016.0 <br />Site Address: 6720 51ST AV <br />Owner Name: WANDS, GERARD K & REGINA <br />Mailing Address: <br />GERARD K, REGINA WANDS <br />6720 S1ST AVE <br />VERO BEACH, FL 32967 <br />Legal Description: <br />WINTER BEACH PARK LOT 16 PBI 10-7 <br />51" Avenue from 65th.St to 69th St <br />*Please sign & return*' <br />This proposed water main assessment project will be completed as an equal -share assessment, below is the amount your <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 infor ation packet you have received for the proposed water assessment project, please check one of the options <br />below and. retur 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 r spectfully requests the Board of County Commissioners of Indian River County (the "County") <br />undertake easurVtoestlish a Water sessment Program ("Project") pursuant to Ordinance 81-27 (the "Ordinance"), as <br />more pa i arly sown, d and agreed hereafter. <br />,,,Signature: Owner Date: Signature: Secondary Owner Date: <br />Signature: Trust Date: <br />NOTE: Please Review <br />Signature: Trust <br />Date: <br />1. Properties under a trust: you must provide the trust document and or.the warranty deed, only the person/persons who are authorized to sign or the Trustee can <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 both need to sign. If three then two need to sign. <br />3. 0roperty under husband & wife without secondary owners filled out (Property Appraiser's Site I Then one signature either from the husband or wife is adequate. <br />Indian River County — Utility Department will not move forward unless 66.7% majority is in favor of the project and the three requirements listed <br />above are met. This petition must be received by Indian River County Department of Utility Services by December 31, 2019. Late petitions may <br />be counted as "Not in Favor." <br />.... ,. 136 <br />