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CM <br />Indian River County <br />Future Land Use Map Amendment/Rezoning <br />Authorization Form <br />TO: Planning Division <br />Indian River County <br />1801 27a' Street <br />Vero Beach, FL 32960 <br />FROM: Brian lenkins, Co -Trustee <br />(Property Owner) 3005 51 st Place <br />Vero Beach, FL 32967 <br />Property Tax I.D. #: 32392200000100000003.1 <br />Property Address: 2980 Industrial Boulevard Vero Beach FL <br />The undersigned is hereby authorized Bruce Barkett to act as agent and/or make <br />application to Indian River County for the above referenced property for the following applications (please <br />mark the appropriate box): <br />0 Future Land Use Amendment <br />E] Rezoning <br />�Vt P,j ZfA V.WS <br />Owners Nwe (FIj t) „ // <br />Owners Signatdi-e <br />STATE OF FLORIDA <br />COUNTY OF INDIAN RIVER <br />n The foregoing instrument wa <br />I�3uSl- <br />20 Z( by <br />or who has produced <br />(SEAL) <br />;��,• BRUCE BARKEIT <br />MY COMMISSION S HH 120790 <br />EXPIRES:Apn122,2025 <br />' •!►o: i���' Bonded Ttvu Notary Publk Lkwuwftm <br />SL2.0 � 1 <br />Date <br />acknowledged before me this ZJ day of <br />Owner, who is personally known to me <br />(passport or driver's license) as identification. <br />NOTPUBLIC: <br />Sign: <br />Printed Name: <br />Commission Number: <br />Commission Expiration: <br />Attachment 1 <br />225 <br />