Fillable City of Greenacres Application for Annexation Answer all (City of Greenacres)

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City of Greenacres Application for Annexation Answer all (City of Greenacres)

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The City of Greenacres Application for Annexation Answer all (City of Greenacres) form is 5 pages long and contains:

  • 8 signatures
  • 0 check-boxes
  • 78 other fields

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File type: PDF

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BROWSE CITY OF GREENACRES (FL) FORMS

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City of Greenacres
Application for
Annexation
Instructions to Applicant:
Answer all questions completely.
Provide required attachments (warranty deed, survey and plans) as shown on the attached
checklist.
Project Name
Agent’s Name
Address
City State Zip
Phone Fax
Email
Owner’s Name
Address
City State Zip
Phone Fax
Email
Correspondence Address: (If different than agent or owner)
This is the address to which all agendas, letters and other materials will be forwarded.
Address
City State Zip
Phone Fax
Email
Subject Site Information
Site Location (General proximity)
Site Address
Parcel Identification Number(s)
Property Size (Square feet/Acres)
Land Use of Property (List existing and previous land use(s) of site for the last 10 years).
Lot Dimensions
Future Land Use and Zoning Information
Existing Zoning of Property in Palm Beach County
Palm Beach County Future Land Use Designation
Anticipated Future Land Use and Zoning in Greenacres.
Describe or Confirm that the Subject Property is Contiguous to Greenacres (Statement
and vicinity map delineating the proposed annexation area and its boundaries contiguous to
Greenacres must be provided).
This is not a rezoning petition. Rezoning petitions and Comprehensive Plan Land Use
Designation can only be acted upon after final Annexation.
2
day of by
as identification
Owner’s Authorization: Each petition must bear the signatures of all owners of property in the
petitioned area. A letter of authorization allowing a person other than the owner to sign or
represent such a petition must be attached to and accompany said petition. (Please use
attached form)
Signature of Owner(s) of Record Print Name
Signature of Applicant or Agent Print Name
Sworn to and subscribed before me this 20 who
is personally known to me, or who has produced .
(Type of Identification)
Signature of Notary Public Print Name
Notary Public State of County of
Commission Number Commission Expires
Notary Seal
(Print, Type, or Stamp Commissioned Name of Notary Public)
3
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signature
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o
Zip
day
20 by Name of person acknowledging. He or she is
as identification
Print Name
County of
Commission Expires
Agent Authorization Form
City of Greenacres
I hereby give AUTHORIZATION t
to act on my behalf, to submit or have submitted this application and all required material and
documents, and to attend and represent me at all meetings and public hearings pertaining to the
application(s) indicated above. Furthermore, I hereby give consent to the party designated above to
agree to all terms and conditions, which may arise as part of the approval of this application for the
proposed use of
Applicant Information
Signature Print Name
Address City State Zip
Agent Information:
Signature Print Name
Address City State
Notary Public Information:
The foregoing instrument was acknowledged before me this
of
personally known to me, or who has produced
(type of identification and did or did not take an oath (circle correct response).
Signature of Notary Public
Notary Public State of
Commission Number
Notary Seal or Stamp
4
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signature
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signature
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signature
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day of
by
as identification.
Commission Expires
Affidavit
State of Florida
County of Palm Beach
City of Greenacres
Before me this day personally appeared who being duly
sworn, deposes and says:
That the accompany list of property owners, mailing addresses and legal
descriptions of all property within 300 feet of the below described parcel of land
is, to the best of his or her knowledge, complete and accurate as recorded in the
latest official tax rolls in the Palm Beach County Courthouse.
The subject Property is Legally described as follows:
See attached.
Further Affiant sayeth not.
Signature
Sworn to and subscribed before me this 20 who
is personally known to me, or who has produced
Signature of Notary Public Print Name
Commission Number
Notary Seal
(Print, Type, or Stamp Commissioned Name of Notary Public)
5
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signature
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signature
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Annexation Submittal Checklist
1. Completed application signed by owner and applicant. Agent’s authorization or power
of attorney must be attached if applicant is other than owner.
2. Copy of the Warranty Deed for the property.
3. Survey (not more than a year old) that includes the legal description of the property,
including any and all easements of record (referenced by Official Records (OR) Book and
page)prepared by a surveyor registered in the State of Florida. Submit four (4) copies
24” x 36” and one (1) copy 11” x 17”.
4. A list of all property owners within a three hundred (300) foot radius of boundary lines of
the subject property from the most recent tax roll information as provided by the Palm
Beach County Appraiser’s Office.
5. Executed affidavit signed by the person responsible for completing the property owner’s
list.
6. Two (2) sets of STAMPED (meter stamps not acceptable), plain envelopes with the typed
names of the owners within a three hundred (300) foot radius of the boundary lines of the
subject property. No return address.
7. Vicinity map delineating the proposed annexation area and its boundaries contiguous to
the City limits.
8. For developed site, include site and development plans. Submit four (4) copies 24” x 36”
and one (1) copy 11” x 17”.
6
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City of Greenacres Application for Annexation Answer all (City of Greenacres)

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Completed 19 February 2021

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