Sign Posting Agreement
6-19 City of Lake Worth Beach / Department for Community Sustainability / Planning, Zoning, & Historic Preservation Division
Page 1 of 1 1900 2
nd
Ave N, Lake Worth Beach, FL 33463 / 561-586-1687 / pzoning@lakeworth.org
This form is required for all Historic Applications and Public Hearing Items.
1. Applicant:
2. Property Owner:
3. Contact Phone Number:
4. Property Location:
5. I, , hereby affirm that I will post the notification sign(s) provided to me
for a minimum of ten calendar days before the scheduled date of the hearing of Planning and Zoning Case
No. .
Signature: Date:
Name/Title of Signatory:
STATE OF )
COUNTY OF )
The foregoing instrument was acknowledged before me this day of 20 , by
who is personally known to me or who produced a as
identification. He/she did not take an oath.
(NOTARY SEAL)
Signature of Notary Public
Name of Notary
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