Owner Consent FormThe City • ' Boynton Beach
• Development Department
�r Planning & Zoning Division
i 100 East Ocean Avenue
Boynton Beach, Florida 33425-0310
('):561-742-6260
www.boynton-beach.org
OWNER'S CONSENT FORM
Susan Levin the ❑ sole owner or partial owner of record of the property legally described as:
Property Owner's Name
CAMBRIDGE AT HUNTERS RUN COND UNIT 9 -VIII
If additional space is needed for the legal description, please check here0and attach additional pages as necessary.
Street Address: 9 Cambridge Dr
PCN: 08-42-46-01-20-000-0090
City: Boynton Beach State: FL Zip Code:
33436
states that he/she has thoroughly examined and is
familiar with the application submitted to the City of Boynton Beach Development Services Department — Planning and
Zoning Division, submitted by Joshua Miller on behalf of The Screen Depot, Inc
and expressly Ohsents to the use o e subject property for the purpose described in the application.
4.
signature (must be original signature)
y� ^ ,' This section must be completed by the Public Notary
On this,,Vday of Iy LIL 20 ,the foregoing instrument was sworn to and subscribed before me
by If individual: 0 3 50 n Leyl n, , and individual
(Name of Person Acknowledging)
If corporation: O , as _V WhLr
(Name of Person Acknowledging) (Position, Type of Authority, Officer)
For
LV Personally, Known or 0 Produced Identification
da la4
Signature of Notary Public
Name k Notary Printed and Commission Number
Last Revised: 02.27.2023
Type of Identification
`o`;� ....PUW" Angelica Harris
.....
Comm.: HH 591357
Qa Expires: Sep. 9, 2028
Notary Public - State of Florida
Place Notary Seal Stamp Above