TOWN OF LADY LAKE ANNEXATION APPLICATION

1.

2.

3.

4.

Owner's Name:

Mailing Address:

Email Address:

Telephone #:

Applicant's Name:

Mailing Address:

Email Address:

Telephone #:

Applicant is:

TOWN OF LADY LAKE

ANNEXATION APPLICATION

Alternate Key Number See attached list.

The Villages of Lake-Sumter, Inc.

1020 Lake Sumter Landing, The Villages, FL 32162

See below.

See below.

The Villages of Lake-Sumter, Inc. - Martin L. Dzuro, V.P.

1045 Lake Sumter Landing, The Villages, FL 32162

[email protected]

(352) 753-6262

Owner� Agent_ Purchaser_ Lessee_ Optionee _

Property Address/Location: See attached list.

5 . Legal Description of Property to be annexed: _S_e_e _ a_tt_a_ch_ e_d_l_is_t. _______ _

6. The property is located in the vicinity of the following streets: Northeast of US 441, North of Griffin Ave.

7. Area of the property: ___ 3_7.:...,2_8_1 __ Square feet ___ o;;_;_·.;;...85:.....__·Acres

8. Utilities: Central WaterIZ] Central Sewer.cz]Well...c]Septic Tankr:=:J.

9.

10.

11.

12.

13 .

14.

Existing County zoning of property: RM - Residential Medium

Requested zoning of property: MX-8 - Mixed Single Family

Number, square footage and present use of the existing structures on the property: See attached list. If any structures, they are Residential.

Proposed use of the property: _R_e _si_d _en_ t _ia_l ______________ _

Has any land use application been filed within the last year in connection with this property? D.Yes CZ]No. If yes, briefly describe the nature of the request and the date this was done:

Attach a list of the owner's names and mailing addresses for all property lying within a one hundred fifty (150) foot radius surrounding the property legally described in this application.

Applications shall include a legal description of the property, proof of ownership and authorization from the owner if represented by an agent or contract purchaser.

I certify that the statements in this application are true to the best of my knowledge.

PLEASE SUBMIT THE APPLICATION, ACCOMPANIED BY THE APPROPRIATE REVI W FEES AN Fl (50) COPIES OF ALL APPLICABLE INFORMATION DOCUMENTATION AS REQUIRED BY THE LADY LAND

DEVELOPMENT REGULATION, ADOPTED AUGUST 15, 1994 TO THE GROWTH MANAGEMENT DEPARTMENT.

ADDITIONAL COPIES OF APPLICATION AND PLANS WILL BE REQUIRED PRIOR TO CONSIDERATION AT THE

PLANNING AND ZONING BOARD AND TOWN COMMISSION MEETINGS.

Office use:

Date Application Received: _____ _ Received by: _______ _

Annexation and Rezoning Fees Paid:

APPLICANT'S AFFIDAVIT

STATE OF FLORIDA

COUNTY OF LAKE

Before me, the undersigned authority personally appeared Martin L. Dzuro, V.P The Villages of Lake-Sumter Inc. , who being by me first duly sworn on oath, deposes and says:

Notary

(1) That he affirms and certifies that he understands and will comply with all ordinances, regulations, and provisions of the Town of Lady Lake, Florida, and that all statements and diagrams submitted herewith are true and accurate to the best of his knowledge and belief, and further, that this application and attachments shall become part of the Official Records of the Town of Lady Lake, Florida, and are not returnable.

(2) That the submittal requirements for the application have been completed and attached hereto as part of this application.

(3) That the applicant desires Annexation with a _M_X_-_8 _ _ _ zonmg classification to allow: -'-'M

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( 4) That the sign cards will be posted two (2) weeks prior to the Planning and Zoning Board hearing and will remain posted until final determination by the Town Commission after which time the sign cards are to be removed.

(5) That the applicant acknowledges the obligation to enter into an agreement acceptable to the Town for the extension of municipal water and sewer services as a condition of the annexati

oe,:;1-h,ertn,.__.,. this 7th day of December

o me or who has produced who did (did not) take an oath.

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LIST NO. UNIT LO T 1 OBG 3 35 2 OBG 3 107 3 OBG 3 117 4 OBG3 118 5 OBG 3.1B 222 6 OBG 3.1B 342

LOT LIST FOR ANNEXATION

PHASE XXII

HOUSE NO. ADDRESS 901 Silver Oak Avenue 809 Royal Palm Avenue 818 Royal Palm Avenue 816 Royal Palm Avenue 805 Elm Street 746 Royal Palm Avenue

ALT KEY NO. PLAT BOOK/PAGE 1483557 PB 23 PGS 27-29 1483859 PB 23 PGS 27-29 1483905 PB 23 PGS 27-29 2573813 PB 23 PGS 27-29 2676027 PB 25 PG 33 2524162 PB 25 PG 33

OBG - PHASE XXII

LEGAL DESCRIPTIONS

Parcel ID #: 06-18-24-0300-000-03500

Lot 35, Unit 3, Orange Blossom Gardens, according to the plat thereof recorded in Plat Book 23,

Pages 27-29, Public Records of Lake County, Florida.

Parcel ID#: 06-18-24-0300-000-10700

Lot 107, Unit 3, Orange Blossom Gardens, according to the plat thereof recorded in Plat Book

23, Pages 27-29, Public Records of Lake County, Florida.

Parcel ID #: 06-18-24-0300-000-11700



Parcel ID#: 06-18-24-0300-000-11800



Parcel ID#: 06-18-24-0350-000-22200

Lot 222, Unit 3.lB, Orange Blossom Gardens, according to the plat thereof recorded in Plat

Book 25, Page 33, Public Records of Lake County, Florida.

and

Parcel ID#: 06-18-24-0350-000-34200

Lot 342, Unit 3.lB, Orange Blossom Gardens, according to the plat thereof recorded in Plat

Book 25, Page 33, Public Records of Lake County, Florida.

INSTRUMENT#: 2017128053 OR BK S034 PG 865 PAGES: 2 12/1/2017 11:20:50 AM NEIL KELLY, LAKE COUNTY CLERK OF THE CIRCUIT COURT REC FEES: $18.50 DEED DOC:$525.00

PENINSULA LAND AND TITLE 1030 LAKE SUMTER LANDING LADY LAKE FL 32162

Prepared by and return to· Gary Fuchs/am Prealdent Peninsula Land & TIUe 1028 Lake Sumter Landing The Villages, FL 32162 File No.: P12244

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-------------'Space Above This Line For Recording Dela . ._ ________ _

Warranty Deed

This Warranty Deed made this 17th day of November, 2017 between William E. Boyle and Judi-Ann M. Boyle, husband and wife whose post office address is 2 Circle Drive, Bradford, RI 02808, grantor, and The VIiiages of Lake-Sumter, Inc., a Florida corporation, whose post office address is 1020 Lake Sumter Landing, The Villages, FL 32162 grantee:

(Whene- used herein the terms •grentor" and "grantee• lndude all the parties to this Instrument and the heirs, legal representatives, and assigns of Individuals, and the succes,ors and esslgns of corporations, tru1t1 and trustees)

WITNESSETH, that said grantor, for and In consideration of the sum of TEN AND N0/100 DOLLARS ($10.00) and other good and valuable considerations to said grantor in hand paid by said grantee, the receipt whereof Is hereby acknowledged, has granted, bargained, and sold to the said grantee, and grantee's heirs and assigns forever, the following described land, situate, lying and being In Lake County, Florida to-wit:

PARCEL ID#: 0618240300-000-03500

Lot 35, Unit 3, Orange Blossom Gardens, according to the plat thereof recorded in Plat Book 23, Pages 27 through 29, Public Records of Lake County, Florida.

Together with the Manufactured Home, bearing VIN # 02630267 AL & BL thereon. The Titles have been retired.

TOGETHER with all the tenements, hereditaments and appurtenances thereto belonging or in anywise appertaining.

TO HAVE AND TO HOLD, the same in fee simple forever.

AND the grantor hereby covenants with said grantee that the grantor is lawfully seized of said land In fee simple; that the granter has good right and lawful authority to sell and convey said land; that the granter hereby fully warrants the title to said land and will defend the same against the lawful claims of all persons whomsoever; and that said land is free of all encumbrances, except easements, restrictions and reservations of record, if any, and taxes accruing subsequent to December 31, 2016.

IN WITNESS WHEREOF, grantor has hereunto set grantor's hand and seal the day and year first above written.

Signed, sealed and delivered in our presence:

�,��

Witness Name: 1..:S..:: '-JM...,_

State of COt\ne � County of �\��

WIiiiam E. Boyle

M,f,�).P{'=

The foregoing instrument was acknowledged before ;nc this 14� day of November, 2017 by Wllllam E. Boyle and Judi-Ann M. Boyle, husband and wife, who"L] are perso lly known [X havo produced a driver's license as identification.

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otary Public

Printed Name: mw� �-UQWdlF=' Do1on11 M. DiWoi

My Commission Expires: NCJTN« PUeUC

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INSTRUMENT#: 2017122029 OR BK 5027 PG 974 PAGES: 1 11/16/2017 9:52:09 AM

NEIL KELLY, LAKE COUNTY CLERK OF THE CIRCUIT COURT REC FEES: $10.00 DEED DOC:$525.00

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Prepared by and return to· Gary Fuchs/am President Peninsula Land & Title 1028 Lake Sumter Landing The VIiiages, FL 32162 File No.: P12318

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________ ____ __.Space Above This Line For Recording Data.,_ ________ _

Warranty Deed This Warranty Deed made this 31st day of October, 2017 between Robin Lynn Krautbauer, a married woman, lndivldually and as Trustee of the Richards Famlly Trust under agreement dated May 5, 2000 and Larry C. Richards, a single man, whose post office address is 3348 Pheasant Run NE, Minneapolis, MN 55449, granter, and The Villages of Lake-Sumter, Inc., a Florida corporation, whose post office address is 1020 Lake Sumter Landing, The Villages, FL 32162 grantee:

(Whenever used herein the terms ·grantor" and "grantee" Include all the parties to this instrument and the heirs, legal representatives, and assigns of Individuals, and the successors and assigns of corporations, trusts and trustees)

WITNESSETH, that said granter, for and in consideration of the sum of TEN AND N0/100 DOLLARS ($10.00) and other good and valuable considerations to said granter In hand paid by said grantee, the receipt whereof is hereby acknowledged, has granted, bargained, and sold to the said grantee, and grantee's heirs and assigns forever, the following described land, situate, lying and being In Lake County, Florlda to-wit:

PARCEL ID#: 0618240300-000-10700 Lot 107, ORANGE BLOSSOM GARDENS UNIT NO. 3, according to the map or plat thereof as recorded In Plat Book 23, Page 27, Public Records of Lake County, Florida.

Together with a 1979 NOBI Manufactured Home, ID# N21339, Florida TIiie 16602380 bearing Real Property Decals# R076029 which is an improvement to the land and an Immovable fixture, and by Intention of the parties and upon retirement of the Certificate of Title as provided in Florida Statutes 319.261, shall constitute a part of the realty and shall pass with it.

NEITHER ROBIN LYNN KRAUTBAUER NOR HER SPOUSE, NOR ANYONE DEPENDENT UPON SAID GRANTOR, RESIDES ON THE ABOVE DESCRIBED PROPERTY, AND THE SAME DOES NOT CONSTITUTE THE HOMESTEAD OF SAID GRANTOR AS THE SAME IS DEFINED BY THE LAWS ANO THE CONSTITUTION OF THE STATE OF FLORIDA .

TOGETHER with all the tenements, heredltaments and appurtenances thereto belonging or in anywise appertaining.


AND the granter hereby covenants with said grantee that the granter is lawfully seized of said land in fee simple: that the granter has good right and lawful authority to sell and convey said land: that the granter hereby fully warrants the title to said land and will defend the same against the lawful claims of all persons whomsoever; and that said land is free of all encumbrances, except easements, restricUons and reservations of record, if any, and taxes accruing subsequent to December 31, 2016.

IN WITNESS WHEREOF, granter has hereunto set grantor's hand and seal the day and year first above written.

State of Florida County of Lake

&ce�duTra,m, of the Richards Family Trust under agreement dated May 5, 2000

�££/� Larry � Richards

My Commission Expires:

[Notary Seal)

INSTRUMENT#: 2017126527 OR BK 5032 PG 1592 PAGES: 1 11/29/2017 8:37:50 AM NEIL KELLY, LAKE COUNTY CLERK OF THE CIRCUIT COURT REC FEES: $10.00 DEED DOC:$525.00

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Prepared by and return to: Gary Fuchs/tn President Peninsula Land & THle

File No.: P12328

ExN. __ _ Rec

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,1028 Lake Sumter Landing

:rhe Villages, FL 32162

,., ____________ --1Space Above This Line For Recording Data . ._ ________ _

Warranty Deed

This Warranty Deed made this 16th day of November, 2017 between Bruno Kuhlmann, a single man, lndivldually and as Trustee of the Bruno Kuhlmann Trust under Agreement dated December 11, 2013, whose post office address is 11372 SE 175th Place, Summerfield, FL 34491, grantor, and The Villages of Lake-Sumter, Inc., a Florida corporation, whose post office address is 1020 Lake Sumter Landing, The Villages, FL 32162 grantee:

{Whenever used herein the terms 'grantor" and 'grantee' Include all the parties to thla instrument and the heirs, legal representatives, and assigns of Individuals, and the succesaora and assigns of corporations, trusts and trustees)

WITNESSETH, that said grantor, for and'in consideration of the sum of TEN AND NO/100 DOLLARS ($10.00) and other good and valuable considerations to said granlor In hand paid by said grantee, the receipt whereof is hereby acknowledged, has granted, bargained, and sold to the said grantee, and grantee's heirs and assigns forever, the following described land, situate, lying llnd being in Lake County, Florida to-wit:

PARCEL ID#: 0618240300-000-11700


Together with a 1978 Manufactured Home, ID# 3R60R38516, Florida Title 14839857 bearing Real Property Decals# R12124335 which is an improvement to the land and an immovable fixture, and by intention of the parties and upon retirement of the Certificate of Title as provided in Florida Statutes 319.261, shall constitute a part of the realty and shc!II pass with it.

TOGETHER with all .the tene.ments, hereditaments and appurtenances thereto belongiflg or in anywise appertaining.


AND the grantor hereby covenants with said grantee that the grantor is lawfully seized of said land in fee simple; that the grantor has good right and lawful authority to sell and convey said land: that the grantor hereby fully warrants the title to said land and will defend the same against the lawful claims of all persons whomsoever: and that said land is free of all encumbrances, except easements, restrictions and reservations of record, if any, and taxes accruing subsequent to December 31, 2016.

IN WITNESS WHEREOF, granlor has hereunlo·sel grantor's hand and seal the day and year first above written .

Signed, sealed and delivered In ou� presence:

�¼.l::vvJ-eLL Witness Name: ie.re.s o... Nonle.J /


Bruno-Kuhlmann, Individually and as Trustee of the Bruno Kuhlmann Trust under Agreement dated December 11, 2013

The foregoing instrument was acknowledged before me this 16th day of November, 2017, by Bruno Kuhlmann, a single man, Individually and as Trustee of the Bruno Kuhlmann Trust under Agreement dated December 11, 2013, who LJ is personally known or [X] has produced a driver's license as identification.

[Notary Seal] ��

Notary Public

Printed Name:


INSTRUMENT#: 2017126450 OR BK 5032 PG 1384 PAGES: 1 11/29/2017 8:18:46 AM NEIL KELLY, LAKE COUNTY CLERK OF THE CIRCUIT COURT REC FEES: $10.00 DEED DOC:$525.00

4

Prepared by and return to· Gary Fuchs/tn President

030 Lake Sumter Landing he VIiiages, FL 32162 ile No.: P12437

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Rec ---1;,1:;·---I -----./.·-,-·-10.· ·--L .,. .. _. -- . - -� . ,

enlnsula Land & Title

________ _ ___ ----1Space Above This Line For Recording Data.,_ _________ _

Warranty Deed

This Warranty Deed made this 17th day of November, 2017 between Theodore G. O'Nelll, a single man, whose post office address is c/o Charles O'Nelll, 189 Rugby Road, Brooklyn, NY 11226, granter, and The VIiiages of Lake-Sumter, Inc., a Florida corporation, whose post office address is 1020 Lake Sumter Landing, The Villages, FL 32162 grantee:

(Whenever used herein the terms "grantor" and "grantee· include all the partles to this instrument and the helni, legal represenlalivas, and assigns of Individuals, and the successors and assigns of corporations, trusts and trustees)

WITNESSETH, that said granter, for and in consideration of the sum of TEN AND N0/100 DOLLARS ($10.00) and other good and valuable considerations to said granter in hand paid by said grantee, the receipt whereof is hereby acknowledged, has granted, bargained, and sold lo the said grantee, and grantee's heirs and assigns .forever, the following described land, situate, lying and being in Lake County, Florida to-wit:

PARCEL ID#: 0618240300-000-11800


TOGETHER with all the tenements, hereditamenls and appurtenances thereto belonging or in anywise appertaining.


AND the grantor hereby covenants with said grantee that the grantor is lawfully seized of said land in fee simple; that the granter has good right and lawful authority lo sell and convey said land; that the granter hereby fully warrants the title to said land and will defend the same against the lawful claims of all persons whomsoever; and that said land is free of all encumbrances, except easements, restrictions and reservations of record, if any, and taxes accruing subsequent to December 31, 2016.

IN WITNESS WHEREOF, granter has hereunto set grantor's hand and seal the day and year first above written.

[Notary Seal]

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s;g,oo, ooalad aad doll,arad la '"' pre,�

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�,..,,;J State ofNe�rk'

M County of �/ J::

The foregoing instrument was acknowledged before me this k day of November, 2017, by Theodore G. O'Neill, a single man, who LJ is personally known or [X] has produced a driver's license as identification.

�.,4!-Not.ary Pu

Printed Na Al'Rl. 30, 20

INSTRUMENT#: 2017122509 OR BK 5027 PG 2395 PAGES: 1 11/16/2017 3:50:00 PM NEIL KELLY, LAKE COUNTY CLERK OF THE CIRCUIT COURT

REC FEES: $10.00 DEED DOC:$500.50

PENINSULA LAND & lllt.E 1030 LAKE SUMTER LNDG TlfE Vlll.AGES, FL 32162

Prepared by and cetvm 1o" Gary Fuchs/am President Peninsula Land & TIUe 1028 Lake Sumter Landing The Vlllagn, FL 32162 FIie No.: P11852

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____________ _.Space Above This Line For Recording Data . .,__ ________ _

Warranty Deed

This Warranty Deed made this 1st day of November, 2017 between Brenda Houde as Personal Representative of the Estate of Roscoe W. Croswell, deceased, whose post office address is 227 Brook Street, Haverhlll, MA 01832, grantor, and The VIiiages of Lake-Sumter, Inc., a Florida corporation, whose post office address is 1020 Lake Sumter Landing, The VIiiages, FL 32162 grantee:

(Whenever used herein the terms •grantor" and "grantee" Include all the parties to this Instrument and the helra, legal representatlve5. and assigns of lndMduals, and the successora and assigns of corporations, trusts and trustees)

WITNESSETH, that said grantor, for and in consideration of the sum of TEN AND NO/100 DOLLARS ($10.00) and other good and valuable considerations to said grantor In hand paid by said grantee, the receipt whereof is hereby acknowledged, has granted, bargained, and sold to the said grantee, and grantee's heirs and assigns forever, the following described land, situate, lying and being in Lake County, Florida to-wtt:

PARCEL ID#: 0618240350-000-22200

Lot 222, Unit 3.1 B, Orange Blossom Gardens, according to the plat thereof recorded In Plat Book 25, Pages 33 through 36, Public Records of Lake County, Florida.

Together with a 1984 PALM Manufactured Home, ID# 23610269T, Florida Title No. 22639180 bearing Real Property Decals# R197696 which Is an Improvement to the land and an Immovable fixture, and by Intention of the parties and upon retirement of the Certificate of Title H provided In Florida Statutes 319.261, shall constitute a part of the realty and shall pass with It.

NEITHER THE GRANTOR NOR GRANTOR'S SPOUSE, NOR ANYONE DEPENDENT UPON SAID GRANTOR, RESIDES ON THE ABOVE DESCRIBED PROPERTY, AND THE SAME DOES NOT CONSTITUTE THE HOMESTEAD OF SAID GRANTOR AS THE SAME IS DEFINED BY THE LAWS AND THE CONSTITUTION OF THE STATE OF FLORIDA.

TOGETHER with all the tenements, hereditaments and appurtenances thereto belonging or In anywise appertaining.

TO HAVE AND l'O HOLD, the same In fee simple forever.

AND the grantor hereby covenants with said grantee that the granter is lawfully seized of said land in fee simple; that the grantor has good right and lawful authority to sell and convey said land; that the grantor hereby fully warrants the title to said land and will defend the same against the lawful claims of all persons whomsoever; and that said land Is free of all encumbrances, except easements, restrictions and reservations of record, if any, and taxes accruing subsequent to December 31, 2016.

IN WITNESS WHEREOF, grantor has hereunto set grantor's hand and seal the day and year first above written.


Witness Name: 1'-o,,A � V

State of �c;... County of C. ';, C,.;:'tj,

'*>---c--� Brenda Houde as Personal Representative of the Estate of Roscoe W. Croswell

The foregoing instrument was acknowledged before me this'd., day of � \. , 2017 by Brenda Houde, Penonal Representative of the estate of Roscoe W. Croswell, deceased, who LJ is personally known to me or [X] has produced a driver's license as identification.

[Notary Seal] Notary Public

Printed Name: :t::Do.r '1 4 C:.\ �'"Tlt°C

My Commission Expires: � I (p do(:) l 5 I

'@)- MARIA CIAMPA '

Notary Pullllc Mauachusott,

Commltalon Exp�es May 16, 2019

INSTRUMENT#: 2017125614 OR BK 5031 PG 1641 PAGES: 1 11/28/2017 8:19:15 AM

NEIL KELLY, LAKE COUNTY CLERK OF THE CIRCUIT COURT REC FEES: $10.00 DEED DOC:$504.00

Prepared by and return to: Gary Fuchaltn President Peninsula ·Land & Title

\ 1028 Lake Sumter Landing The Villagea, FL 32182 File No.: P12410

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-----�-------1Space Above This Line For Recording Data,,__ ________ _

Warranty Deed

This Warranty Deed made this 13th day or November, 2017 between Mary Beth Welker, a single woman, Individually and as Trustee of the Wllllatn J. Welker and Mary R. Welker trust under Agreement dated August 28, 1995, whose post office address is 303 C�toff Road, Fruitland Park, FL 34731, granter, and The Villages of Lake-Sumter, Inc., a Florida corporation, whose post office address is· 1020 Lake Sumter Landing, The VIiiages, FL 32182 grantee:

(Whenever used herein the terms ·orantor" and •grantee" Include aY the parties to tllls Instrument and the heirs, legal rvprnentativea, and assigns of Individuals, and the aucc:eucrs and assigns cf c:orpcratlona, trusts and trustees)

WITNESSETH, that said grantor, for and in consideration of the sum of TEN AND N0/100 DOLLARS ($10.00) and other good and· valuabl.e considerations to said granter in hand paid by said grantee, the receipt whereof Is hereby acknowledged, has granted, bargained, and sold to the said grantee, and grantee's heirs and assigns forever, the following described land, situate, lying and being in Lake County, Florida to-wit:

PARCEL ID #: 0818240350--000-34200

Lot 342, Unit 3.18, Orange Blossom Gardens, according to the plat thereof recorded in Plat Book 25, Pages 33 through 35, Public Records of Lake County, Florida.

Together with a 1981 LIBERTY Manufactured Home, ID# 10L 12959, Florida Title 19217047 bearing Real Property Decals# R077460 which is an improvement to the land and an immovable fixture, and by intention of the parties and upon retirement of the Certificate of Title as provided in Florida Statutes 319.261, shall constitute a part of the realty and shall pass with it.

TOGETHER with all the tenements, hereditaments and appurtenances thereto belonging or in anywise appertaining.

·. TO HAVE AND TO HOLD, the same In fee simple forever.

· AND the granter hereby covenants with said grantee that the granter is lawfully seized of said land in fee simple; that the grantor has good right and lawful authority to sell and convey said land; that the grantor hereby fully warrants the title to said land and will defend the same against the lawful claims of all persons whomsoever; and that said land Is free of all encumbrances, except easements, restrictions and reservations of record, if any, and taxes accruing subsequent to December 31, 2016.

IN WITNESS WHEREOF, granter has hereunto set grantor's hand and seal the day ·and year first above written.



Mary Bet elker, Individually and as Trustee of the William J. Welker and Mary R. Welker Trust under Agreement dated August 28, 1895

The foregoing instrument was acknowledged before me this 13th dey of November, 2017, by Mery Beth Welker, a single woman, Individually and as Trustee of the William J. Welker and Mary R. Welker Trust under Agreement dated August 28, 1995, who LJ is personally known or [X] has produced� driver's license as Identification.

[Notary Seal] � � Notary Public

Printed Name:


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L=41.33'

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TI-11'5> SKl:TGH IS IH'T?:NO!':D TO St-lOH PeRT!l'EN'T IHPORHATION FOR TH:: 5t.B..EGT LOT A5 --11-E llfORHATIOH 5HClf't-l AAS 6f!;N 06TA11£D � F'REUHIHAR"I" PLAT, FIELD � NO c.ott5�TIOH Pl.ANS A5 St.eMITTED ftf lHE VAA.IQ..15 LITILJT"I" GOt-'PAHll3 ( UTILITY LOGATlONS AR£ �T TO CHAN6E ). TI-E V'IU..-.a:5 C1f L.AKE--5U-1TER., ING . ORNt5oE Bl055CM 6ARDEN5o, FARMER BARLEY' e A550GIATES �/Ofl. AHr AFFILIATES n£REOF ARE NOT RESPONSIBLE OR LIAel.E t=OR. �y � GORREGTIE55 OF 1lE II-FORMATION AS :iHOt'N OH THIS sic:.ETGH.

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LOT 35* UNIT, 3 STREET, SILVER OAK AVElllE DRIVE, RIGHT LOT AREA, R,M TO B/G AREA, TOTAL MAINTAINED,

1,143 Sq. Ft. 2,ll!Sq. Ft.

'l,254 Sq. Ft.

/ � /

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CUSTot-ER 5i6W',.n.Re,

CU5TOl'-'ER 5i6NAME..

� c::J H."-TER HETER

- IAAl6A TION. l"ETER

-<>- STREET Ll6HT

(P) ll'OIC.ATB PLAT

(I') 11-Vfc.ATI:5 FIELD 1-EASt.RE

U.E. VTILITY EASe-£lfT

D.E. DRAINA6-f EASEMENT

l'1 GABLE T . V . PEDESTAL I 1" OR Cl" ROlND

[TI TELEPHClNE PEDESTAL / 4" OR 12" R.OlJt,C1

l!al ELEG-fRIC. PEDESTAL / 2t7x:J.O" Pl'-D

!)SI ELEGTRIG TRAHSFORl-'ER 1,•x::.,• PAD

lilll EL.EC. TRIG FEED lHRDUrSH c.ABIHcT

wl UTILITY VAULT .. �TI:R. VAJ...V'E i.1 FIRE H'T"DRAHT

- 5TORH INLET

c:Jlb VALJ.EY 6UTTER INLET

- GATGH BASIN • �E

� Ll� EXTcNDER PEDESTAL../ 12•><30•xr-4•

� TRIJNc::.•AHP PEDEST.AJ... / l1°X30"Xl'4"

A Sr'ilTC,HGEAR/ 1'X1'

8 P0\1£R Sl,f'PL. Y / 20"x28"x5e"

�-.. OOARD /ST�/ PVC, FENCE

tc:)TE, EA5&£HT5 ND Rl6HT" OF """'YS IN ,.AVOR. OF TtfE DEVELOPER ARE t-EREBY" RE5ERVED FOR THE c:ctc5�TIOH. IH5T1'L..1.ATIOk HD HAltfTENAHGE Olf VTILITIES 5Ua1 AS ElEG-TRIC. Ll6HT LINES, s,t,,HfTART'. SB-ER S,T� �IN.Ar6£'.. H,A,JER LIHf;5, C.ABLEVtSIOH Ta..EF'HOI'£ , RECREATION F�ILITI6 NO TaE6RN"H LIi-ES OR TI-E LIKE. 1lt:5E THIRD PARTY l/T1L1T'f �DERS IJTlLJZlHG� EA5EI-ENT >,RE>, GOYEHAN-r, AS >, CONDrTION Of' TIE Rl6tfT TO U5e 5lJG.H �. HOT TO INTERFERE OR DIS,n.RB � ECUIPt-err INSTN..LEO HITHIN nE EASEt-ENT J,.REA N..L U1"1UT1' PROVIDERS ;.RI!, RE:f'ONSIOL..f FOR RfPA.IRll'6 l1'f: 6RAO!N6 AHD LANDSGAPE ee1Ni.S [)IS,TLRBEO PIRSUN{T TO Nil' IITILIZATIOH OF .su::.H EA$8-ENTS, � THESE t/TIUTY'" F'ROVIOERS MAY U!iE ABOvE 6RO..tO ..IMC,TION BO><ES, PEDESTAl.-5, 5PLIGc BO.><E5 NV ETC. . FOR nEIR UTILITIES AHO TIE OEVEl..OPER IS. HllliCUT ICNOt-LED6E AS TO "THE SPEGIFIG �TIG'IH lo'tTHIN Tl-E EA5&ENT5 NC> RkStfT OF ,-V,.YS, TI-IAT n£5E tJTILlT'f PFOVIDER!io KA'( Pl.AGE ne£ � 6RO.H> rret-tS IN TI£ FVT1><E. * SFEC,IAL FLOOR PLAN HOt-E SITE

� �

�� f'i",am := �-='_,�:;-..� -u.--o---o•-.a•

N

SC.ALE, 1/16"=1'

THIS 15 NOT A 5LRVEY

/I.;

,oo

01r:P (!)IJJ �

ms SKETG,H t5 IHTENDft) TO 5HOH PERT11'£NT llf0Rt-1ATION FOR TI-E 51.8.EGT LOT AS -""""'"· TIE l�TION 5HOt'f.l HAS BEEN. OBTAINED T1-ROl.l6f-i F'RELIM\J,,yi,,Ry PLAT, FIELD �5 NV GON51R1JC.TION PL.ANS, AS !lteH!� 6'1' Tl-£ YAAJ0.15 VT1Ltrr GOrf'AHJES ( lmUT-r LOGATIONS AA£ St.8...EG-T TO GHANiSE J . Tl£ VILI..>6ES Of LAKE--su-tTER. Jt-t::. . ORAN6E 8LOSSOM 6ARJ:::lEN5, FAAl'ER BARLEY' f A550C..IATES AND/OR /ttH1' AfftllA TES TH:REOF � HOT RE5f'ONSIBLE OR LIABLE FOR �y OR CORREG� a= THE INFORHATlON AS� ON Tl-llS SK.ETG,H,

LOT 101 UNIT, 3 STREET, ROYAL PALH AVEIU: DRIVE, RIGHT

LOT AREA

RM TO B/C AREA,

TOTAL MAINTAINED,

5,400 Sq. ft.

1'13 Sq . ft.

b,1'13 Sq. ft.

!I ��

-<'z

� q

�

O;__ Q?

GUSTOl'-ER Sl6N,lr,.�

GU5Tot-ER Sl6NA'ri.RE.

� c:::i ---

- !AAl6ATIOH '1:TER

-<>- 5TREET Ll6HT

(P) 11'DIGATE5 PLAT (F) INDICA TE5 FIELD �

U.E. IJTlLITT'" EA5EHENf D.E. DRAJNN>E EA5c>ENT

[l:I G-ABL.E r.v. PEDESTAL 11· OR -1· ROlW

rn T'B...E� PEDESTAL / 4" CIR 12" RaH7

IEl El.EGTRIG PEDESTAL/ 2Cr:JQO- PAD ll5l El..EGTRIG 1"RAH5fOFo-ER / :.''X:.,' PAD

,!I El.EG-TRIG FEED Tl-tROJ6H G1'BIHET

mi IJTIUT'f VAULT .. �TER VAL.VE

'-' FIRE HY'DRANT

� 5TORH IHLET c:::ac::, VAL.LE'f 6UTTER INLET

• CATGH BASIN • t1ANHOl.E

� LINE EXTBIDER PEDESTAL / 12"X30"Xl4'

� �-H1P PEDESTAL / tl"X30"Xl'4"

A 5f"ITGtt 6EAR / i' X 1'

8 �st.f'Pl_'( / 20"x.2b"l(5e,"

----.: BOARD / 5Toc.tc>,,DE / PVG FENC£

NOTE1 EASEH:NTS ,l',H;;l RJ6+ff OF �YS IN f'AVOR OF TIE DEV'B..OPfR AAf tERfB'Y' RBERVED FOR 1l£ COHSTRLIGT)('.)N. lteTAU.ATIOH AND MAINTENANCE OF LITIUTIES SUCH AS EL.£G.1RJG- LJ6HT LI�, 5"'HITAA'f, S&t:R. 5TORM �!N>6E, H.A.16!: Ll1'E5, GABL.EV1510N TB..B"HOtE, R:E:e,RE,t,,.TION FJlGIL.llU3 Al<> TH.£6RN'H LIHE5 OR n-E Llt::E. TJ£5E rnrRP PAAT'T' IJflLm' f'ROV!OER5 1Jf1LIZIN6 � EA5El-ENT AREA GO\IEHANT, AS A COI-OfTION Of£�RJGtrrTOU5esuc.+t�,NOTTO lt-nl=RfERE OR Dl5"� scx;.tt EGVIPI-EN'T IMST1'J..LED Hl'THIH TI-E EA5EHENT AA.EA AU. UTILITY � NI.£ ReFOH:5ta.f FOR Rff"AlRJl'tSo M 6RADIN6 AHD LAHD5CAPE El':IN6 Dl5T\RBEO RJRSUANT TO HO' 1/TIUZATION OF soot EA5Et-'EN'TS . HOt'EYER. n t:5E 1/TlLJTI' PROVIDERS MAT IJSE AOOv1: 6RCUCD .JJNGT!OH 60xE5. f'El?E5TAl..5, 'SA..IGE 60JCES NO ETG. FaR TIEIR UTIUTll:5 AHD TIE DEVEL.OPER 15 l'irn-tOVr � >6 TO n-£ 5F'EG!FIC LOGATION �THIN TI-£ EA5e-£NT5 AND Rl6HT OF lf'4AT'S TH,,tr,,T nE5E UTIUTY PRO,/IDER5 MAT Pl..,t,,Ge; n-l:5e � 6RGU<> !Te-15 IN lle --

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t

I

�<v -}v SC:.ALE, 1/16"=1' �

'(-

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� 0-(

�

e,•

::14" OAK•s v, sy0'o

0'o )(= Y, ,.. ,

THIS 15 NOT A 5URYEY

Tl11S SKETGH 15 IHTe-CDEP TO 5HiOI-I PERTIH!EHT IHPORHATION � TI-e 51..e-.EC,,T L.oT A$ Sl<OtfltEREDN. Tl-E It-FORMATION � HAS Be:N OBTAl!ED TI-fWUS,H PRELIMINAR'r" f'\.l'rlT, FIELD � N-1? GOMSTf<l,IC.:TION P1...AN5 1-6 �ITTED 6"T' THE VAAK:U!> l/TILITY c.ot-'PAHH3 ( U'flUTY u:x::.,t,,T\OHS ARE �T TO GkANiSE ). TIE VIL1..ASES OF L..AKE--'5t.MTER. l� . ORAt-kSE EIL.OSSOH 6ARDEt6, FARNER BAR1.EY f A550GIATES /',HD/OR l'IHf AFFILIATES TI-EREOF ARE MOT RESPONSIBLE OR LI� FOR AC,CIJRl•C:r' OR COfi.REGTlE:55 OF TIE !NFORMA.TION A5 � ON THIS SKETGH.

9::s-�,,' >��0;

fJ:::.-7 :.,;

/

LOT Ill* UNIT, 3 STREET, ROYAL PALM AVEIVE DRIVE, Rl6HT LOT AREA RM TO 6/G AREA, TOTAL MAINTAINED,

• 12' LIGUSTRIJM

6'6' aa ·8>s: ·sx',;;s 07 :.,;

5.,2::> Sq. Ft. B415q. Ft.

6,564 Sq. Ft.

CURVE C-I (P)

6=01 °

11'0&"

R=521.32'

L=ll.82'

C=ll.82'

CB=N44°

13'35"E

CURVE C-1 (F)

6=01°

1&'20"

R=521.32'

L=ll.1I'

C=ll.1I'

CB=N44°

13'5&"E

GU!;,TOt-ER 516NATU1.E,

Gt6TOl'£R 516NATVRE,

� c:::i t'VrlTER t--ETER

El IAAl6ATIOH !'-ETBl.

4 STREET Ll6HT

IP/ INDIGA TES Pl.AT

(F) INDICATES FIELD t-EASURE

U.E. t/TILIT'I" EASEMENT

D.E. DRAIHA6E EASEt-1:NT

� GABLE T.V. PEOE5TAL / 1' OR q• FlDLt,Q:>

IIl TELEPHONE PEDESTAL / 4" OR 12" RCUND

l!al ELECTRIC. PEDESTAL/ 20"XXY PAD

181 El£G.TRIG TRAN5FOR11:R / 3'X3' PAD

lilil E.LEGTRIG FEED � GAESlNET

11:il UTILITY' VAULT

.. lf'Vrt.1"ER VAL.YE '•' FIRE HYDRANT

.... STORM INLET

� VALL..E'( 61.JTTBt INLET • GATC..H BAS!H

• MAl+tOl.E

� Lite' EXTENDER PEDf:STAL / 12"X':'D"Xl4'

4 TRUtK-N1P PEDf:STAL / 11"x.30"Xl'4"

A St'tTGH 6EA� I ,, X ,,

El POlfER 5t..f'PI... Y I 20"x.2&"x56"

,._.., BOARD I 5Tc:::ic.t:::ADE / PvG FENCE

�. f!A'5el-eNTS AK> RIGHT Of" �Y'S IN r"AVOR OF 1lE DEVELOPER AA£ t£REBY RE5ER'v'ED FOft Tl£ CONSTRUGTION. lt6TAU.ATIOH AND HAJNTEHNi(;.E OF tmLJTIE5 5IJCA-i "'5 B..fG.TRJc;. Ll6HT LINES, S,,lr.NITART', S&ER. STORM ORAIH>6E, l"'IAl'ER L!tE:5, GABI-EVt540N lcLfJ't-lOfE. RECREATION l"AGILITIES >J'O � LIHE5 CR nE LJKE.. TIE5E THI� PNU'!' LITILnY PROVIOERS LITILIZIN6 51X-H EA5Et-err AREA� . A5 A GOl'OITIOH OF TI-IE R.16HT TO U5E '5IJC.H �. NOT TO !NTERFERE OR 0151\RB 5UGH EGIJ!Pt-e-l'T IHST1'LJ...ED HITlilN TlE EA5&1ENT AREA. N..L IITILITY ffiOVlDCRS ARe �teL.f fOR RfPA1RIH6 TI-e 6RAOlN6 AHO L.ANDSGAPE BEIN6 DISTIJRBED F'URSUNfl TO Nff UTILIZATION OF 5UGH EA5Et1:NTS . HOt"EVER, n-E5E UTIUTT' PRDVI DERS MA Y U5E ABOVE � ..1.INGTIO'N BO.><E5, f'EDE5TAL5, SPLICE BOJIES Ne, ETG-. FOR TtE/R UTIUTIE5 AND Tl-ff DfVaOPfR 1� l'flMOlfT � M TO THE SPEG!FIG. LO(;.,l,.TIQN V'IITHIH nE EAse-ens AHO Rl6HT OF �Y-5 THAT TI£5E UTlLITY PROV'IDER5 HAY F'1...AGf n£5E � � na-5 tH THE Rm.O<E. * SPECIAL FLOOR PLAN HOl'1: Sile

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-"'-__ a ___ oljal-..

I

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N

SCALE, 1/16"=1'

Tl-<15 15 NOT A SURVEY

;?0 �«;

-<' z-°' �

�

0� «

n+t5 SKETG-H J� JH"l?:NPeD TO 54-IOt'i PERTltENT llfORl-'IATION FOR TI£ 5LB..EGT LOT AS SHOH<HEl'EON. TI£ l!fORH,,I.TION SHCW-1 HAS Ba=N OBTN>ED TI-ROU6H P'Rfl.lHIMAR"f" P\..AT, FIELD � N-v cot6TRUGTION P1.AN5 AS 51.eMl'Y-TEO BY' TI-£ VARIOJS UTILITY ca,,,pAHjf:S ( UTILITY LOCATIOl'6 ARE �T TO GtWt5E ). TI-E Vll.1..Jt6ES OF LAKE� INC.. ORAN5E Bl.05'50M 6AR:Oe6, FARNER 8ARLE'f f A560C.IATI:5 AND/OR Nff Af'TIUATE, 11-EREOF AA:£ NOT �Bl£ OR L1"8LE FOR N,,Gl,JRN,,Y OR CORREC.TlC:!:6 GF n£ INFORMATION AS 5HOt"t4 ON ™15 5KETCH.

10" PALM

' r'

�,v

£# v

(j

Y!J"'

c'<; (J�

�

LOT 118* UNIT, 3 STREET, ROYAL PALM AVEl'fJE DRIVE, Rl611T LOT AREA, RM TO 6/C. AREA, TOTAL MAINTAINED,

<3·

&>>

& ·6 �, 9, rk; 0-::.; :...;

5,881 Sq. Ft. 163 Sq. Ft.

6p505q. Ft.

9,'.'.,?, . 0,

r,(::j

<F0

LINE-I (P)

N33 °30'00"E 1.90'

LINE-I (F)

N32°

31'36"E 1.68'

CURVE-I (P)

6.=06 °

32'09"

R=521.32'

L==60.15'

C=60.12'

CB=N40°

18'59"E

CURVE-I (F)

6.=06°

32'51"

R=521.32'

L=60.26'

C=60.23'

CB=N40°

19'20"E

CUSTOH:R 516NA�

GU5,TOH£R�6!'V\TuRE.,

� c:J HATERI-ETER

- 1Rfil6ATIC)t,j �

� STREET Ll6HT

a') I NDIC.ATES Pl.AT IF) II-OICATES FtB..D t-EA5(JRE U.E. llTILITYeASEH:NT D.E. DRAINA6E EA5Et-t:NT

ll3 C.ABLE T . V . PEDE5TN... / 1' OR q• R0Lt,u,

[!] TB...EPHON:: PEDESTAL.. / ... OR 12• ROUND

llal ELEG TRJG PEDE5TAL / 20""X20" P.AP 0 B.EGTRIG � / 3'X3' PAD

w ELEGTRIC. FEED 'TI-RCUStl C.ABH£T

1M IITILJTl' V,',ULT .. HATER VALVE ,.1 FIRE tf'r"DRAHT

- �TOR.Ml� c:ac:, VN.l.EY 6UTTER ltt..ET

- GATGH B,l,,SIN

• MANHOLE

(;;> Lit£ EXTa«JfR PEDEST� / 12"X30"Xl-4"

&. TPJJt,,K -........, PEDEST,6,1.. / 11"X30"X14'"

A SHTC,H 6EAR / ,. )( T

8 POl-'£R 5IPPL YI 20"x26"x56"

.,_,. BOARD I 5TOGKADE / PvG FEHGE

NOTE, EA5EJ-£HT5 AND RJ6tf'T' OF HAY5 IN FAVOR OF TI-E PEYa.oPER � tEREeY � FOR THE c.ot6 TRUe, 1lON, INST AU.A TION AND MAINTENAHCE OF UTILITIES SUCH AS aECfRjC. Ll6HT LIIES, 5AHITAR'f, 5&t:R, S>TORM DRAIN>o!:. K'� Llt-e, � TB....EPHOtE, ReC.REATIOH FAGILITiffi NO TEi...E6RN'H Llt'ES OR TIE LIKE. THESE THI� PAA.TY 1/TlLITl" PRO'I/IDER5 �IZ!tt5 � E>,!:,Et-EKT AAEA COV'EN.ANT, AS A GONOfTIOM Of" me RJ6'HT TO use 5UCA-I �. HOT TO IN'T'ERR:RE OR Dt5'n.fffl 5tK..H EGVIPt-ENT IN5TAI..LED HjlttlN TIE EA5EHENT ARE.A.. l"\U.. UTILITT F'ROV!ClERS ARE �lelf POR Rff!AIRIH6 1HE 6RADIM6 NCI � SEJNG Dl5'� � TO AHf UTIUZATION OF SUCH EASEJ-ENTS , HOH:VER, TI-IE'5E IJTILIT'f PROVIDERS HA T U!:E ABOV'E 6RO.N> .JJNG.TlON BO)(ES. PEDESTN.5, 5f'\.Jc.E ooxes NO ETC:. FOR Tl-EIR UT1UTIE5 � TIE DEVEL.Of'ER 15 11Trta/T IC:HOrt...ED6E l'6 TO TIE 5PEG.IFIC LOGATIOM ViTH!H Tht: � At«) Rl6HT OF K'YS ll-lAT Tl-E5E VfJLITY PROVIDERS ....i.Al' f'lAG.e n£!e N,,0,/E 6RCUO � IN TI-e FIJMUe. * SPECIAL FLOOR Pl.AN HOI-E SITE

� �

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�·cat'JIQ !: 'C-'_.:i.�-.:;....._ -""---·---·--

l

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SC.ALE, l/16"cl'

Tlll515NOTA5URVET'

-Jc 1::-5' �o

0 IJ\ �----=-csi,0 a,:i

"),� �__, __,

ll-tl5 SKETCH 15 INTENDED TO !>HOYi PfRTll'EHT INFORMATION: l"OR THE �TL.OT 11,5 Sl<Ol't<t£REON. TH: lt-FORM,lr,.TIOH 5l<)tfl AAS Bf£N OBTAINED Tl-fWUS+1 PRELIMIN>-R'f Pl..,,l,T, Fle.D �5 � COH5TRUCTION Pl.AN5 /',S SLeMITTEP 6Y 11-IE' VARJOJ5 1/TILllY GOt-PANJES ( tmUlY L..OC,ATIONS ARE. 5t,6..EG.T TO�). nE VIL.l.>6E5 OF L.AKE-stMTER., l!'c'.::.. � flLOS5CiM 6ARDENS, FARNER BARLEY • A55QrG.IATE5 AND/OR ANf AFFILIATES n£REOF ARE NOT RESF'Ot61BL.f OR LtABL..E FOR �y OR �TIE56 OF TIE l�TION AS 5HOt'N ON 'Tl-US SKETCH.

LOT 222 UNIT, 3.16 STREET, ELM S TRffT DRIVE, RIGHT LOT AREA, RM TO B/C AREA TOTAL MAINTAINED,

1,121} Sq. Fl. e,e,e,5q. Fl.

B,615 Sq. Fl.

'E:-'---0 0 \�'E:,t:-\

CURVE-I (P)

6 ==01 °33'31 11

R==361.20' L==I0.00' C==I0.00' CB=Sl0 °55'I0"V'I CURVE-I (F)

6=01 °34'01" R=361.20' L=I0.05' C=I0.05' CB=Sl0 °55'24"V'I

CUSTOt-ER516NAT\JRE.

Mrat-ER 5i6NA'i'\Ae,

� CJ HA� r-ElER

a IAA16A TIOH METER

-<?- 5TREET Ll6HT

(P) IHDIG-ATES PLAT (F) ltDIC.A'TI:5 FIELD l'-'EA5lJRE

U£. 1/TIUTY EA5EMENf D.le. DRAINAGE EA5Et-1ENT Ii:! GABLE T.V. PEDESTAL/ i' OR q• RotMD

II] TEl...EPHOtE PEDESTAL/ "'4" OR 12" RCVNO IE] ELEGTRIG PEDESTN.. / 20"X20" P.AD 181 ELEG TRIG TAAN5FORt'ER / 3'X,' PAD

Iii ELEGTRIG FEED llF.Ot.161-1 CABINET

iRl IJTILITY VALL T ... HAT'ERVl'J..VE .. , FIREH"r"ORANT

- 5TORH ll'LET c:lK:::J V,'J...LE"t' 6llTT£R INLET - GATGH BASIN • K',NI-IOLE

[7 Lll'E EXTENDER PEOE5TAL / 12°X30"Xl-4"

� � -N1P PEDE:5TN. / 11•X30°x1�•

A SHTGH 6EAR. I 1' X 1'

8 POYER s.ff'L.1" / 20"x2t>"J66"

,._,. BOARD /ST�/ PvC, FENG£;

tore, EA'5Et-£HT'5 AND RIGHT Of' K*,.'(S IN ,-AVOR OF TI£ DEVELOPER ARE t£REBY" � FGJR THE C.ON51'RJG.TIDN. IHSTAU.ATIOH N-D MAINTENAHC,E Of t/TIUTlE:S 51.JC.H "6 ELEG-TRIC. L'6HT LINES. S,,\NITART', SEYER. Sf� t>R-"� """TER LINe. c.ABlEVl5ION ra...Eflto,E , FU::GREATIOH FACILITIES NV TEL.f':6RAPH UHE5 OR TI-e LIKE. TI-IE!,E n-+IRO PARTY Vf1LIT1' PRO\IIDERS VTIUZI� 5JC.H EA5Et'EHT AREA c.ovENANT", A5 A GGltOITIOH OI" TI«: RJ6HT TO use 5UCti �. HOT TO INTERffRE OR 015� 5UG+t Eallf't'tiff INSTALLED HITI-flN THE � AREA AU IITILJTY f"RO'v'ID'f'RS � �a..f POR RfPAIAJ� n-e 6RAOIN6 AHO LAHD5G,,l,PE eESN6 Ol5T1JRBED F\.R51.1Nff TO N'O' LITILIZATION OF � � �R. THESE UTILITI' PROVIDERS MAY USE ABOVE 6ROlK> .JJNGilON BOXES, PEPEITi'LS, 5F'LK.E BO� � ETG. FOR TIEIR 1/TILITIES AHO nE DEVEl..Of'ER 15 HITHCVT !Qi0rt.E06E "'5 TO 11-E 5PEGIFK. LOCATIOH HITI-ilH Tl-E &6&ENT5 AHP Rl6HT OF l"Vro.T5 TI-VIT rteSE llTILIT"f PROVIDERS MAT PL.AG,E 1rESE ABCNE 6RO.H? ITB-15 JN THE Rln.«E.

� �

�� (i'\�:5 e-1�.,�� ._

_..., __ , ___ ,i:m,�

N

SC.ALE, 1/lb"=I'

THIS 15 NOT A =<JRVEY

Tl-115 SKETCH rs INTENDED TO 5t-iOt"I PERTltEHT ltf'ORl-1ATION P0R TIE 5(.6..£,C.T L O T A5 -HEl<EON. ll-E It-FORMATION 51-a'N AAS 6f6I 06TAIIED � PRB..IMIM,,A.RY PLAT, FIELD �5 ANP GON5�TION PlJIN5 AS SleHITTED BY niE VARlOUS. UTILJlY GOtof'ANIES ( l!TILITY LOCATIONS AA£ SLe..EG.T TO GHANi5e ).

TIE V'll.L.,l,6ES OF L.AKE-5lHTER, INC . ORANGE 8LOS50t-1 6ARDEH5, FARNER BARL..EY f ASSOCIATES AND/OR N« AR'ILIAl'Ei n-ERfOI"' ARE HOT RESPON5j8U: OR LIAf!rLE FOR AGOIRAC,"( OR �T'IE5!, OF Tl-£ JNFOF2.HA.TION AS � ON n11S 5KETGH.

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p,--\--0 r'

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5" MAGNOLIA

/4?'(.,P'\,)

,,,-: ':ififS�'(,

, <-00�

�\\,Q\'« LOT 342

UNIT, 3.16 STREET, ROl'AL PALM AVEIU' DRIVE, RIGHT LOT AREA 5,400 Sq. Ft.

115 Sq. Ft. b,1155q. Ft.

O'''(:.

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II

II

Not to Scale

Legend

D

D

D

Indicates Lake County Enclave Current Land Use: Lake County Medium

Density Urban Current Zoning: Lake County

Residential Medium (RM)

Indicates Property(s) Proposed for Annexation, Small Scale Comprehensive Plan Amendment and Rezoning

Indicates Town of Lady Lake Current Land Use: Town of Lady Lake

Manufactured Home High Density (MH-HD) Current Zoning: Town of Lady

Lake Mixed Single Family (MX-8)

Flood Zone Map# 12069C0154E Panel 154 of 750 (Revised 12-18-12)

1 o - - Lot Number

1 00 - 911 Number Proposed

Orange Blossom Gardens Properties

for

Annexation, Small Scale Comprehensive Plan Amendment and Rezoning

@��0�':�c��s�� December 4, 2017

II

II

December 7, 2017

Thad Carroll

Growth Management Director

Town of Lady Lake

409 Fennell Blvd.

Lady Lake, Florida 32159

Re: Orange Blossom Gardens - Phase XXII

Annexation, Small Scale Comprehensive Plan Amendment and Rezoning

Dear Mr. Carroll:

Pursuant to the lnterlocal Agreement between Lake County and the Town of Lady Lake

effective June 24, 2015 (attached hereto), please accept this letter, the $2500 check, 10 copies

and one CD of the applications, documents and maps for The Villages of Lake-Sumter, Inc. 's

Annexation, Small Scale Comprehensive Plan Amendment and Rezoning of certain lots in the

County Enclave of Orange Blossom Gardens.

Please place this request on the January 8, 2018 Planning and Zoning Board Agenda. We also

request that the Land Planning Agency and Town Commission act on the recommendation of

the Planning & Zoning Board at their February 5, 2018 Meetings and Commission for Final

Reading on February 19, 2018.

Thank you for your cooperation and assistance. Should you require any additional information

or have any questions, please feel free to contact me.

Si

Martin L. Dz r , V.P.

The Villages of Lake-Sumter, Inc.

Dzuro & Associates

Land Development Consultants-Surveyors

1045 Lake Sumter Landing

The Villages, Florida 32162

(352) 753-6262

m arty. [email protected]

1020 Lake Sumter Landing, The Villages, Florida 32162-2699

www.TheVillages.com

INTERLOCAL AGREEMENT BETWEEN LAKE COUNTY, FLORIDA AND

THE TOWN OF TOWN OF LADY LAKE REGARDING BUILDING PERMITS AND INSPECTIONS

FOR THE VILLAGES

TIDS IS AN INTERLOCAL AGREEMENT by and between Lake County, Florida, a

political subdivision of the State of Florida, hereinafter referred to as the "County," and the

Town of Lady Lake, a municipal corporation organized under the laws of the State of Florida,

hereinafter referred to as the "Town," regarding the issuance of building permits and inspections

for privately owned property.

WHEREAS, the Town and County desire to provide for the most efficient planning and

building inspection processes for both entities; and

WHEREAS, The Villages either has, or intends to, purchase lots located in an older

section of The Villages East of US 27, or either has, or intends to, enter into agreements with

existing property owners, to replace existing mobile homes with new, conventionally built

homes; and

WHEREAS, the properties subject to this Agreement shall be located within the

boundaries of the Interlocal Service Boundary Agreement (!SBA) between Lake County and the

Town·ofLady Lake, executed on August 27, 2013; and

WHEREAS, Section 163.01, Florida Statutes, known as the "Florida Interlocal

Cooperation Act of 1969" authorizes local governments to make the most efficient use of their

powers by enabling them to cooperate with each other and to provide services in a manner that

will accord best with economic and other factors; and

WHEREAS, the Town desires to issue the building permits on the lots either owned by,

or under contract with, The Villages as it would be the in the best interests of the citizens of Lake

County, Florida.

NOW, THEREFORE, in consideration of the mutual terms and conditions

understandings, conditions, premises, and covenants hereinafter set forth, and intending to be

legally bound, the parties hereby agree as follows:

1. Recitals. The foregoing recitals are true and correct and incorporated herein by

reference.

2. Town Responsibilities. The Town agrees as follows:

A. To ensure that The Villages, or the owner under contract with The

Villages, has applied for annexation of such property into the Town of Lady Lake. This is a

condition precedent and must be satisfied before the Town has authority to issue any building

permits for any property located within the unincorporated area.

B. To ensure that the improvements constructed on each property is designed

in a way that complies with the Town's Code and Land Development Regulations, and

Comprehensive Plan Policies, including any architectural design criteria.

C. To ensure that The Villages obtains any necessary Town zoning and

planning approvals or development orders, other than building permits, if necessary. The

Villages, or property owner, shall pay the Town any required annexation application and

permitting fees, and pay to the County impact fees at the current County rates.

D. The Town Building Deparbnent is hereby designated by the parties as the

appropriate agency to review building construction plans, to issue building permits, and to

conduct necessary building and fire inspections for the properties identified herein located within

the unincorporated County. The Town shall provide to the County, upon request of County, any

necessary information regarding the project, including inspection and permit status, and shall

make all sites available to the County for inspection as needed.

E. The Town will diligently process the annexation application and any other

applications for comprehensive plan amendments and zoning requests as required by Florida law

and the Town's Ordinances and Land Development Regulations.

3. County Responsibilities. Pursuant to Section 4.a. of the !SBA, the County

hereby acknowledges and agrees that the Town's Code and Land Development Regulations will

be applicable to properties subject to this Agreement. The County agrees to allow the Town to

issue any necessary building permits, and perform any necessary building inspections on

properties either owned by The Villages, or under contract with the Villages, that is located in

the unincorporated area of Lake County. Such properties must be located within the area defined

in the Lady Lake ISBA, and the property owner shall have applied for annexation into the Town

of Lady Lake prior to the issuance of any building permits.

4. Term of Agreement. This Agreement shall become effective on the date upon

which the agreement is executed by the last party hereto. This Agreement shall remain in force

2

20 I 5/Building/Interlocal w Lady Lake _permitting/Lady Lake _permitting_ unincorporated_ agmt 5-12-15

until terminated by either of the p�ies. Either party to this Agreement may terminate the

Agreement by providing ninety (90) days written notice to the other.

IN WITNESS WHEREOF, the parties hereto have made and executed this In.terlocal

Agreement on the respective dates under each signature: Lake County, through its Board of

County Commissioners, signing through its Chairman, authorized to execute the same by Board · --i.-; v ...... r:e___ action on the � day of �I , 2015, and by the Town of Lady Lake, signing

by and through its authorized representative.

ATTEST: TOWN OF LADY LAKE

�0¥-.�� Town Clerk

Date: ------'�'--....!.!.�_,_'-..,_\ __ \,_,�"-J'l--"Q"".I,)""-\.,_,-::;,,,,_·· ___ _ \

2015/Building/Interlocal w Lady Lake _permitting/Lady Lake _permitting_ unincorporated_ agmt 5-12-15 3

lnterlocal Between Lake County and the Town of Lady Lake; Regarding Building Pennits and Inspections for The Villages

Sanfor A. Minkoff County Attorney·----�-.

COUNTY

LAKE COUNTY, through its BOARD OF COUNTY COMMISSIONERS

2015/Building/Interlocal w Lady Lake _pennitting/Lady Lake _permitting_ unincorporated_ agmt 5-12-15

legality:

4

-c:::-: .

This __ day of J.Arut-. , 2015.

Owners withis 150 Feet of Subject Properties

AltKey OwnerName OwnerAddress OwnerCity OwnerState OwnerZip1483875 ANDERSON BRADLEY W 5055 HOWARD LAKE ROAD NW AKELEY MN 564332809213 ANDERSON INA M LIFE ESTATE & BOBBIE E ROBERTS LIFE ESTATE 938 TARRSON BLVD LADY LAKE FL 321591483549 ARMBAND CAROL A 903 SILVER OAK AVE LADY LAKE FL 321592534664 AUKERMAN WILLIAM G & REGINA M CARUOLO 821 SILVER OAK AVE LADY LAKE FL 321592536462 BABCOCK SYLVIA E LIFE ESTATE 808 MAPLE LN LADY LAKE FL 321591732727 BAKOS MARION H 157 S PEMBERTON AVE OCEANPORT NJ 077572686758 BARRETT KENNETH J & CASANDRA K 6119 WHEATFIELD DRIVE SE GRAND RAPIDS MI 495082523077 BECK BRUCE F & MARY 827 SILVER OAK AVE LADY LAKE FL 321592701030 BOUCHER ROBERT T LIFE ESTATE 971 TARRSON BLVD LADY LAKE FL 321591732735 BOULAIS NANNETTE M TRUSTEE 809 TRUMAN AVE LADY LAKE FL 321591483824 BUFFETT HEIDI 918 BEECHWOOD AVE LADY LAKE FL 321591672759 BURNS DEBORAH & MARIE P SUTTON 812 TRUMAN AVE LADY LAKE FL 321592573805 CONN MICHAEL J 812 ROYAL PALM AVE THE VILLAGES FL 321592539127 COOKS ALLENNITA TRUSTEE 984 TARRSON BLVD LADY LAKE FL 321591672716 COOMBER MARCIA E 803 ROYAL PALM AVE LADY LAKE FL 321592723203 COPE BERNARD 748 ROYAL PALM AVE LADY LAKE FL 321591483778 CORACI THOMAS P & DONNA 36 BARCLAY RD MASTIC BEACH NY 119512523051 CRONIN MARLEEN ESTATE 304 DEL MAR DR LADY LAKE FL 321592523115 CROSSLIN RUTH M 803 ELM LN LADY LAKE FL 321592676027 CROSWELL ROSCOE W ESTATE C/O BRENDA HOUDE 227 BROOK ST HAVERHILL MA 018322573651 DAVIS MARIE F TRUSTEE 970 N 2750E RD KANKAKEE IL 609012669357 DAVIS MERLE A 804 MAPLE LN LADY LAKE FL 321592684232 DE GREGORIO IRENE H & RONALD 1309 ELLIS DR GLEN MILLS PA 193422717815 DE VOS BRICE J & JOLINE I 1136 SW BARRINGTON DR OAK HARBOR WA 982771483581 DEDMON KENNY S & MARVIN K DEDMON 1842 N CONCORD RD CHATTANOOGA TN 374212690208 DOMINGOS FILOMENA J LIFE ESTATE 745 ROYAL PALM AVE LADY LAKE FL 321592701170 ENSLEY ELEANOR 934 TARRSON BLVD LADY LAKE FL 321592701005 FAUCI FRANK & JOANNE LIFE ESTATE 811 ROYAL PALM AVE LADY LAKE FL 321592672820 FORSYTH JAMES J 807 ELM ST LADY LAKE FL 321592765101 FOWLER RAYMOND F TRUSTEE 925 TARRSON BLVD LADY LAKE FL 321592668318 GALLAGHER GEORGE F & FLORENCE J 734 TRUMAN AVE LADY LAKE FL 321591483565 GIFFORD SUE A ESTATE 702 CATHERINE ST APT 1 SYRACUSE NY 132032575077 GREENWOOD GARY F 64 FANNING AVE HAMPTON BAYS NY 119462897872 GTMJ INVESTMENT GROUP LLC 1020 LAKE SUMTER LNDG THE VILLAGES FL 321623808678 GTMJ INVESTMENT GROUP LLC 1020 LAKE SUMTER LNDG THE VILLAGES FL 321621200474 HAVERKAMP CONSTANCE A 819 ROYAL PALM AVE LADY LAKE FL 321591483808 HERSHBERGER KENNETH LIFE ESTATE & PEGGY MASTERS LIFE ESTATE 922 BEECHWOOD AVE LADY LAKE FL 321592685841 HERSHEY IDA K 741 ROYAL PALM AVE LADY LAKE FL 321591483816 HIE SHIRLEY & KEVIN C HIE 920 BEECHWOOD AVE LADY LAKE FL 321591732671 HITE EUGENE F 912 BEECHWOOD AVE LADY LAKE FL 321592573660 HODGE ROBERT 803 TRUMAN AVE LADY LAKE FL 321591732719 HOOVER IDA M TRUSTEE 810 ROYAL PALM AVE LADY LAKE FL 321592523000 JAMES SHARON M SPIVEY LIFE ESTATE 811 MAPLE LN LADY LAKE FL 321592523107 JANKOWSKI CHERI L 823 SILVER OAK AVE LADY LAKE FL 32159


AltKey OwnerName OwnerAddress OwnerCity OwnerState OwnerZip1732531 JOHNSON GLENN P 963 TARRSON BLVD LADY LAKE FL 321591732701 KELLOGG SOPHIE TRUSTEE 807 ROYAL PALM AVE LADY LAKE FL 321592855525 KINSEY CARL R ET AL 747 TRUMAN AVE LADY LAKE FL 321591753627 KOOGLE JAMES D & SARA 814 TRUMAN AVE LADY LAKE FL 321591672741 KRICK DANIEL & BRENDA 7026 MONACO DR SE OLYMPIA WA 985012695994 KRUPINSKI MICHAEL G 31 5TH AVE WESTBURY NY 115901483905 KUHLMANN BRUNO LIFE ESTATE 818 ROYAL PALM AVE LADY LAKE FL 321592576103 LAURICH GREGORY P & LINDA K 1881 YOUNGSTOWN LOCKPORT RD RANSOMVILLE NY 141312570717 LAVENTURE LEO M 55 N LITTLE WOLF RD TUPPER LAKE NY 129862761075 LENNOX SHIRLEY ANN 936 TARRSON BLVD LADY LAKE FL 321591483891 LEVINE DAVID M & MARSHA S 820 ROYAL PALM AVE LADY LAKE FL 321591483441 LINGO MICHAEL 965 TARRSON BLVD LADY LAKE FL 321592685875 LOVVO HENRY T & EMMA J 730 TRUMAN RD LADY LAKE FL 321592717831 MAGRATH PATRICIA A 815 ROYAL PALM AVE LADY LAKE FL 321592701048 MARTIN LORNA L TRUSTEE 14524 MORNINGSIDE RD ORLAND PARK IL 604621483832 MATHEWS JOHN C & SHIRLEY M 914 BEECHWOOD AVE LADY LAKE FL 321591672686 MAULDIN LINDA G LIFE ESTATE 902 SILVER OAK WAY LADY LAKE FL 321592731397 MECHAM JIMMIE F & JEAN L TRUSTEES 923 TARRSON BLVD LADY LAKE FL 321591483867 MICHAUD RENALD C & M CAROL A LIFE ESTATE 813 ROYAL PALM AVE LADY LAKE FL 321592684909 MILLER JAMES E & JUDITH A 2024 SPRING VALLEY RD LANSDALE PA 194462659343 MOONEY DIANE M & CHARLES K HAMILTON 810 MAPLE LN LADY LAKE FL 321591732590 MOORE WILLIAM H JR 925 WEEPING WILLOW AVE LADY LAKE FL 321592535385 MORRISSEY DENNIS J 822 ROYAL PALM AVE LADY LAKE FL 321591483883 MUCCI STEPHEN L & LISA M MASSI 823 ROYAL PALM AVE LADY LAKE FL 321591483794 MULDERIG RONALD A & LINDA G 924 BEECHWOOD AVE LADY LAKE FL 321591672732 NAST NANCY 807 TRUMAN AVE LADY LAKE FL 321592669411 NEPHEW LORRAINE E PO BOX 219 LADY LAKE FL 321581371309 O'BRIANT MARGARETTE A 2142 YEARLING WAY THE VILLAGES FL 321632573813 O'NEILL THEODORE G 816 ROYAL PALM AVE LADY LAKE FL 321591732689 ORDMAN MORGAN & MARTIN ORDMAN 908 BEECHWOOD AVE LADY LAKE FL 321592600179 OSBURN RONALD C TRUSTEE 819 TRUMAN AVE LADY LAKE FL 321591483531 PAQUETTE CONSTANCE S 907 SILVER OAK AVE LADY LAKE FL 321592573678 PASKOR LORETTA M TRUSTEE 808 ROYAL PALM AVE LADY LAKE FL 321591483786 PATALAK KIMBERLY J & DAWN L PATALAK 917 BEECHWOOD AVE LADY LAKE FL 321592732458 PERANTEAU LAWRENCE J & PHYLIS A 220 E LEAMY AVE SPRINGFIELD PA 190642524189 POOLE HOWARD R & JOYCE M 744 ROYAL PALM AVE THE VILLAGES FL 321632701081 POWERS MICHAEL E & TERRI J M 739 TRUMAN AVE LADY LAKE FL 321592575026 PRATHER JERRY P & SHELLEY H PRATHER 743 TRUMAN AVE LADY LAKE FL 321591483573 QUIRK JAMES M & BETSY A 31 MERRITT AVE BROCKTON MA 023022666315 RANCK DONALD P & NANCY 750 ROYAL PALM AVE LADY LAKE FL 321592560363 REICKERT WILLIAM P 805 ROYAL PALM AVE LADY LAKE FL 321591483859 RICHARDS LARRY C TRUSTEE 809 ROYAL PALM AVE LADY LAKE FL 321592585978 RISSMANN-JOYCE STACIE L LIFE ESTATE 815 TRUMAN AVE LADY LAKE FL 321592667494 RUOFF STEVEN & SHERRY L 61 KEHOE RD SANDY CREEK NY 13145


AltKey OwnerName OwnerAddress OwnerCity OwnerState OwnerZip2576111 RYAN ARLETTE E 986 TARRSON BLVD LADY LAKE FL 321591371295 RYAN VERONICA A 913 BEECHWOOD AVE LADY LAKE FL 321592732571 SCHLOSSER VICTORIA LIFE ESTATE 942 TARRSON BLVD LADY LAKE FL 321592669403 SHAFFER MICHAEL R & SUSAN L LIFE ESTATE 12841 CAPETOWN AVE UNIONTOWN OH 446852701013 SHANKLE LINDA D 817 TRUMAN AVE LADY LAKE FL 321591483921 SMITH CLAUDIA Y 114 GLENCOE RD UPPER DARBY PA 190822701099 SMITH LORRIAN F & ROBERT A GUIDA 1924 AMBERJACK TER THE VILLAGES FL 321622685808 STACEY CHARLOTTE A 714 WESTFIELD ST MIDDLETOWN CT 064572765097 SULLIVAN GEORGE A TRUSTEE & JULIE P SULLIVAN TRUSTEE 732 TRUMAN AVE LADY LAKE FL 321592504323 SWENDERMAN JAMES R & KATHLEEN HARVEY TRUSTEES 988 TARRISON BLVD LADY LAKE FL 321592706406 TEUTEMACHER ALAN R & SUZANNE M 1574 FAIRFAX TER THE VILLAGES FL 321622701129 THOMAS MARLENE 919 TARRSON BLVD LADY LAKE FL 321592575018 TOMLINSON EDWARD & JANET 9 WHITES RD WASHINGTON NJ 078822524286 TRAVERS ARNOLD J & SHIRLEY A 745 TRUMAN AVE LADY LAKE FL 321592523956 TROUTT CHARLES A 816 BEECHWOOD AVE LADY LAKE FL 321591483841 TYLER RALPH T 910 BEECHWOOD AVE THE VILLAGES FL 321592932309 UNGER THOMAS C & ELIZABETH C SCHESSLER 940 TARRISON BLVD LADY LAKE FL 321592684267 VELLUCCI-PAULA CARMELLA 906 BEECHWOOD AVE LADY LAKE FL 321592523026 VILLAGES OF LAKE-SUMTER INC 1020 LAKE SUMTER LNDG THE VILLAGES FL 321622535369 WARREN MARY K 923 WEEPING WILLOW AVE LADY LAKE FL 321592503408 WARTA ALBERT S JR & MARGARET 307 KANSAS ST LINDENHURST NY 117571483557 WATERMAN EDWARD A ET AL 723 JASON DR LADY LAKE FL 321591672724 WEBER DAVID H & MARSHA A 902 BEECHWOOD AVE LADY LAKE FL 321592524162 WELKER WILLIAM J TRUST 746 ROYAL PALM AVE LADY LAKE FL 321593239474 WELLS JEFFORY H & CATHERINE Y 6674 79TH AVE PINELLAS PARK FL 337812684861 WESEMAN RICHARD L & JULIE L 751 ROYAL PALM AVE LADY LAKE FL 321592540192 WHITMORE RUTH S TRUSTEE ET AL 747 ROYAL PALM AVE LADY LAKE FL 321592524294 WILLIAMS LARRY & DENNIS M WILLIAMS JR 5150 BALBOA ARMS DR F14 SAN DIEGO CA 921171732646 WILLIAMS MICHAEL E & CYNTHIA A 911 BEECHWOOD AVE LADY LAKE FL 321591484022 WINHOLD PATRICIA A 928 TARRSON BLVD LADY LAKE FL 321592504447 WOOD FORREST R 916 BEECHWOOD AVE LADY LAKE FL 321592706180 WOODRUFF JOHN S & JOAN A LIFE ESTATE 825 SILVER OAK AVE LADY LAKE FL 321592665947 WOODS JERRY R & RHONDA L 817 ROYAL PALM AVE LADY LAKE FL 321591484014 WYMAN IRA O & MARY LOU 412 MAPLE TER EAST BRADY PA 160281483590 XYZ TRUST C/O DAVID W KATHARY 910 SILVER OAK AVE LADY LAKE FL 32159

746 Royal Palm

805 Elm Street

809 Royal Palm

816 Royal Palm

818 Royal Palm

901 Silver Oak

TOWN OF LADY LAKE ANNEXATION APPLICATION

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