HomeMy WebLinkAboutOwner's Consent FormThe City of Boynton Beach
40 Development Department
Planning & Zoning Division
100 East Ocean Avenue
Boynton Beach, Florida 33425-0310
(P): 561-742-6260
www. boynton43each.org
OWNER'S CONSENT FORM
400 S FED RAL LLC the E sole owner or f Ipartial owner of record of the property legally described as:
Property Owner's Name
27-45-43, S 139.99 FT OF N 284.99 FT OF E 125 FT OF W 176.18 FT OF NW 114 OF SW 114 OF NW 114
If additional space is needed for the legal description, please check here 1-7 and attach additional pages as necessary.
400 S FEDERAL HWY
Street Address: City: Boynton Beach State: FL Zip Code:
33435
PCN: 08-43-45-27-00-000-3040 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 DMsion, submitted by Jay Cunningham on behalf of 400 S FEDERAL LLC
and a consents o t use of the subject property for the purpose described in the application.
Signature (must be original signature)
This Section must be completed by the Public Notary
On this _Z day of 4202_Zz the foregoing instrument was sworn to and subscribed before me
by ff individual: El
and individual
(Name of Person Acknowledging)
If corporation: 40"� /2S! o 2T 4;1�,4,z k�.j44 .0 . as
(Name of Person AckliowI;Aing) (Position, Type of Authority, Officer)
For �j ��d d � 6Z Personally, Known or 0 Produced Identification
Type of Identification
LEAN K MAW
1taRary Public
Signature of Notary Public Stah of Florida
W-- Carrtrrll HH419834
C4 �1 ,� EVkU 7nav=,
Name of (Votary Printed and Commission Number � Place Notary Seal Stamp Above
Last Revised: 02.27.2023