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Fort Walton Beach Council agenda — 04-12-11 regular — reading text

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limits of the City of Fort Walton Beach: I certify that I am the fee simple legal owner of the above described property requested for annexation into the City Limits of Fort Walton Beach and hereby provide ( 4/ 66' ? r e-;.% as proof of ownership or contractual interest in this property. I certify that I have examined the application and that all statements and diagrams submitted are true and accurate to the best of my knowledge. Further, I understand this application; and attachments o become part of the official records of the City of Fort Walton Beach, Florida, and are not returnable. Owner's Signature) Witness Signature) Property Owner' s Contact Information Address__ 3 OFFICIAL USE ONLY MP13 Case #: Date Received: Phone 3'' G. r61 -2 - Received By: Page 1 of 1 O Owner Name Property Address Parcel Number M X WELCH SHIRLEY 623 COUNTRY CLUB AVE 36- 1S -24- 0540 -000B -0150 aC C Owner Address Business Q 623 COUNTRY CLUB AVE NE 3 FT WALTON BCH, FL 325471727 Not all businesses may be listed on this parcel U Homestead IlPrimary Millage District IF2010 Certified Millage Rate 1Property Type C YES 110CEAN CITY / WRIGHT FIRE 13. 0489 SINGLE FAMILY O U GV 2010 CERTIFIED VALUES LEGAL DESCRIPTION to Building Value 87, 021 Extra Feature Value F 1, 010 O LandLand ValueValue 89, 600 COUNTRY CLUB EST LOT 15 BLK B Agricultural Value 00 V d C Just ( Market) Value 177, 631 The legal description shown here may be condensed for assessment Cp3 Assessed Value 109, 683 purposes. Exact description may be obtained from the recorded deed. a Exemption Value 50, 500 0 Taxable Va:1:u:e= jMfflM@Wg0 1 59, 183 Maximum Save Our Home Benefit or 10% Non -Homestead Cap 67, 948 OO r Just ( Market) Value is established by the Property Appraiser for ad valorem tax purposes. It does not represent anticipated selling Price N BUILDING INFORMATION = Type Total Area Heated Area Exterior Wall= j Roof Cover Interior Wall Flooring T SINGLE FAM 2, 540 1, 860 BRICK DIMEN / TIMB DRYWALL CARPET d Year Built Heating Type A/ C Type Baths Bedrooms Stories Building Building NotesNotes Actual / Effective N AIR DUCTED CENTRAL 1 2= 1 3 1— 1969/ 1969 IF PTO C d v EXTRA FEATURE INFORMATION ! Q Description Quantity Quantity Type Year Built Q FIRPLC 1 11 UNITS 1969 = R O LAND INFORMATION l' 00 r Description Frontage Depth Land Units Unit Type d SFR GOLF ( 000140) 100 D 0000001.

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