Department of
Growth Management
Perpetual Exclusive Easement
Perpetual Exclusive Easement-CS43 Page 1 of 2
Recording, please return to the Planning & Community Design Division
Prepared by:
THIS EXCLUSIVE EASEMENT is made by and between , whose
address is
, herein party of the first
part, and
, whose address
is
, hereinafter party of the second part.
WITNESS, that the party of the first part, in consideration of the sum of Ten Dollars ($10.00) and other
valuable consideration, the receipt of which is hereby acknowledged, does hereby grant unto the party of the
second part, their successors and assigns, an exclusive Easement in accordance with Section 3.02.05(B)(2),
Lake County Code, Land Development Regulations, for the purpose of securing a _____-foot setback from
the party of the second part’s structure located at
{address}. Such
easement shall run in favor of the party of the second party upon and through the following described tract of
land in Lake County, Florida, to-wit:
AS SET FORTH ON EXHIBIT “A” ATTACHED HERETO AND INCORPORATED HEREIN.
TO HAVE AND TO HOLD the same unto the party of the second part, its successors and assigns, until
terminated as stated herein. Signed, Sealed and Delivered in our presence as witnesses:
Witnesses
Grantor(s):
1.
Signature Signature
Type/Print Name of Witness Type/Print Name
2.
_____________________________________
Signature Title
____________________________________
Type/Print Name of Witness
State of Florida
County of Lake
The foregoing instrument was acknowledged before me this ___________ day of ________________,
20______, by ________________________________________, who is personally known to me or who has
produced________________________________________ as identification and who did not take an oath.
Signature of Acknowledger (SEAL)
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