easement information and example documents

11
-... CllY Ot- MARGATE Together We Make It Great EASEMENT INFORMATION AND EXAMPLE DOCUMENTS Please refer to the information below when compiling easement documents for submittal to the City. Also included are completed examples of each type of document. Submit three copies of all documents. All documents requiring signatures and/or seals must have wet signatures. Utility Easement A utility easement gives the City the right to construct, maintain, repair, install, and rebuild utility infrastructure on property not owned by the City. The City provided Utility Easement Deed, references two exhibits that must also be submitted by the grantor of the easement. Please leave the date blank on the first line of the Utility Easement Deed. This date will be filled in later with the date the City Commission accepts the easement. Exhibit “A” specifically describes the parcel the easement is located on. This is generally accomplished using one of the following three (3) methods: providing a parcel identification number (folio number or property ID number) providing the legal description, or providing the legal description with an accompanying sketch. Exhibit “A” may, but does not have to, be signed and sealed by a professional surveyor. Exhibit “B” shows the utility easement area that is being granted. It must be comprised of a sketch and description, signed and sealed by a professional surveyor. Access Easement An Access Easement gives the City the right to enter a property not owned by the City for the purpose of constructing, maintaining, repairing, installing, and rebuilding utility infrastructure located within utility easements. The City provided Access Easement form, references two exhibits that must also be submitted by the grantor of the easement. Please leave the date blank on the first line of the Access Easement form. This date will be filled in later with the date the City Commission accepts the easement. Exhibit “A” describes the access easement area. At a minimum, the access easement area must provide a drivable pathway from a public right-of-way to the utility easement. It must be comprised of a sketch and description, signed and sealed by a professional surveyor. Exhibit “B” shows the utility easement that the access easement is for. It is the exact same exhibit as used for Exhibit “B” of the utility easement. Bill of Sale A Bill of Sale is required if utility improvements are being turned over to the City for maintenance. Both the City provided Bill of Sale form, and a final cost estimate from your engineer must be submitted.

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-... CllY Ot-

MARGATE Together We Make It Great

EASEMENT INFORMATION AND EXAMPLE DOCUMENTS

Please refer to the information below when compiling easement documents for submittal to the City. Also included are completed examples of each type of document. Submit three copies of all documents. All documents requiring signatures and/or seals must have wet signatures.

Utility Easement

A utility easement gives the City the right to construct, maintain, repair, install, and rebuild utility infrastructure on property not owned by the City. The City provided Utility Easement Deed, references two exhibits that must also be submitted by the grantor of the easement. Please leave the date blank on the first line of the Utility Easement Deed. This date will be filled in later with the date the City Commission accepts the easement.

Exhibit “A” specifically describes the parcel the easement is located on. This is generally accomplished using one of the following three (3) methods: ① providing a parcel identification number (folio number or property ID number) ② providing the legal description, or ③ providing the legal description with an accompanying sketch. Exhibit “A” may, but does not have to, be signed and sealed by a professional surveyor.

Exhibit “B” shows the utility easement area that is being granted. It must be comprised of a sketch and description, signed and sealed by a professional surveyor.

Access Easement

An Access Easement gives the City the right to enter a property not owned by the City for the purpose of constructing, maintaining, repairing, installing, and rebuilding utility infrastructure located within utility easements. The City provided Access Easement form, references two exhibits that must also be submitted by the grantor of the easement. Please leave the date blank on the first line of the Access Easement form. This date will be filled in later with the date the City Commission accepts the easement.

Exhibit “A” describes the access easement area. At a minimum, the access easement area must provide a drivable pathway from a public right-of-way to the utility easement. It must be comprised of a sketch and description, signed and sealed by a professional surveyor.

Exhibit “B” shows the utility easement that the access easement is for. It is the exact same exhibit as used for Exhibit “B” of the utility easement.

Bill of Sale

A Bill of Sale is required if utility improvements are being turned over to the City for maintenance. Both the City provided Bill of Sale form, and a final cost estimate from your engineer must be submitted.

UTILITY EASEMENT DEED

THIS INDENTURE, made this ___ day of ___ _, 20_

between -----------------~ Party of the first part, and the CITY OF MARGATE, Florida, a municipal corporation organized and existing under the laws of the State of Florida, Party of the second part.

W ITNESSETH

WHEREAS, the party of the first part is the owner of the property situated in Broward County, Florida, and described more property as contained in Exhibit "A" attached hereto; and

WHEREAS, the party of the second part desires an easement for water distribution lines and sewer collection lines, including hydrants, and / or other appropriate purposes incidental thereto, on, over and across said property; and

WHEREAS, the party of the first part is willing to grant such ease

IN WITNE written.

Witness

Witness

Print Name of Witness

STATE OF _______ _ COUNTY OF: ______ _

BY: __________ _

(Name:

The foregoing instrument was acknowledged before me by means of D physical presence or D online notarization, this __ day of ____ , 20_(year), by ________ (name of person acknowledging), and is personally known to me or has produced identification.

My Commission Expires:

EXT6025.2016.30 REV 3-12/30/2019

NOTARY PUBLIC, STATE OF FLORIDA

.Al)proved es to toon Janotto M. Smith. c,1y Altomoy

2016 30

EXHIBIT “A”: PROPERTY DESCRIPTION FOLIO NUMBER 4841 36 00 0040 SITUATED IN THE CITY OF MARGATE, BROWARD

COUNTY, FLORIDA.

UTILITY EASEMENT

DESCRIPTION

BEING A 2D FDDT STRIP OF LAND LYING WITHIN A PORTION DF THE EAST ONE-HALF Of THE SOUTHEAST ONE- QUARTER OF THE NORTHWEST ONE- QUARTER OF SECTION 35, TOWNSHIP 48 SOUTH, RANGE 41 EAST, BROWARD COUNTY, FLORIDA TOGETHER WITH A PORTION OF LOTS 9 AND 10, BLOCK 10, MARGATE SIXTH AODmON, SECTION FlVE ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOK 56, PAGE 30, OF THE PUBUC RECORDS OF BROWARD COUNTY FLORIDA, MORE PARTICULARLY DESCRIBED AS FOLLOWS:

COMMENCE AT T}jE NORTHWEST CORNER OF SAID LOT 9, MARGATE SIXTH ADDITION , SECTION FIVE;

THENCE SOLITH 01' 01'15" EAST ALONG THE WEST UNE OF LOTS 9 AND 10, SAID BLOCK 10. AND THE EAST UNE OF NORTHWEST 65TH AVENUE, A DISTANCE OF 83.44 FEET TO THE POINT OF BEGINNING;

THENCE SOUTH 89' 33'14" EAST, A DISTANCE OF 60.45 FEET;

THENCE NORTH 45"26'46" £AST, A DISTANCE OF 61.40 FEET;

THENCE SOUTH 89'33'14" EAST, A DISTANCE OF 452.41 FEET;

THENCE SOUTH 44' 33'14" EAST, A DISTANCE OF 27.44 FEET;

THENCE SOUTH 89' 33'14" EAST, A DISTANCE OF 67.95 FEET;

THENCE NORTH 45·25•45• EAST, A DISTANCE OF 69.58 FEET;

THENCE SOUTH

THENCE

THENCE

THENCE

THENCE

SURVEYOR'S NOTES:

COUNTY, FLORIDA, CONTAINING 15,812 SQUARE

1. REPRODUCTIONS OF Tr-llS DOCUMENT ARE NOT VALID WITHOUT THE SICNATLRE AND ORICII-JAL RAISED SEAL OF A LICENSED FLORIDA PROFESSIONAL SURVEYOR ANO MAPPER.

2. BEARINGS SHOWN HEREON ARE RElATIVE TO THE WEST LINE OF LOT 10 BLOCK 10, SECTION FIVE, MARGATE SIXTH ADDITION, (ASSUMED TO BEAR N 01'01' 15" W). SAID PLAT RECORDED II~ PLAT BOOK 55, PAGE 30 OF THE BROWARD COUNTY PUBLIC RECORDS.

3. THERE MAY BE EASEMENTS, RESTRICTIONS AND/OR RIGHTS-OF- WAY NOT SHOll'I~ HEREON.

THIS IS NOT A BOUNDARY SURVEY

PREPARED FOR:

CITY OF MARGATE SEt 05/05/2012 "'" SEC 05/01/2012 •I• "' N/ • "'

REVISION D\\'N DATE FB/PG CKO

FORCE MAIN / WATER MAIN EASEMEI-IT SKETCH ANO DESCRIPTION

CITY OF MARGATE, BROWARD COUNTY, FLORIDA PROJECT MUM9ER: 11-1610

f lLE NAME! XR- 1510-FM-~EMENT.dw SHEET l Of 2

EXHIBIT “B”: UTILITY EASEMENT DESCRIPTION

i

LINE OF THE EAST ONE-HALF OF THE SOUTHEAST ONE-QUA TER OF THE NORHWEST ONE- QUARTER OF SECTION 36

12' UTILITY EASEMENT

3

I I I

LEGEND BCPR

PB

CANAL RIGHT-OF- WAY

3ROWARD COUI-HY PU3LIC RECORDS

PLAT BOOK

6' UTILITY EASEMENT (PLAT)

BLOCK 10

------t ---SECTION FIVE (?8 56, PG 30, BCPR)

MARGATE, SIXTH ADDITION

12

I NW 65TH AVE.

POINT OF BEGINNING

SURVEYORS CERTlflCATE:

I ~ ERES'r' CClmFY '™"-l l}'l!S SKOCH AND OESC"lPTION 15 ACCURA.1'E TO TriE Bf!iT OF' Lff KNowtmGE ,',.ND BEl.JEF mo t.4EUS 'THE l,IINII.IUIA TtCHNlCAL STANOAAOS }S SET FORTH BY lJ,,IE FLOR'°" BOARD OF PROr""fSSIOt<W.. SUIM:YORS AND w.PPERS IN CHAPTER IITS 5J- 17, FWRIOA ADl,UN~ TM: CODE, PURSUAHT TO SECTION 472..02.7, i'lORmA S'TAlVES-

fOR 11,E nRM, /- 1 It< in ROBERT D. KEEN ER PRDFESSIO~ SURVEYOR AND W-.PPER /4846

THIS IS NOT A BOUNDARY SURVEY

RE\l!StD SKETCrC & _ O( SCFUPTIOH SEE 06/05/2!>12 N/A ROK

REVIS~O SKETCH-6:...DESCRIPTION S,( 05/01/Z012 N/A ROK

SKETCH_&J)UiCRIP710 M 0it/ 12/201 2 N/ A P.DK

REVlSION OWN DATE FB/PG CKD

FORCE IJAIN / WATER MAIN EASEMENT SKETCH AND DESCRIPTION

Cl'TY OF MARGATE, BROWARD COUNTY, FLORIDA PROJECT NUMBER: 11-1 610

Fll£ N.~ E: XR- 15i O- FM-EASE~1ENT.dw SH:'.ET 2 Of 2

ACCESS EASEMENT (For Access to Allow for the Maintenance of Water and Sewer)

THIS ACCESS EASEMENT is made and entered into this--~ day of---~ 20_, by and between----------------~ hereinafter called the "Granier", and the City of Margate, a Florida municipal corporation organized and existing under the laws of the state of Florida, hereinafter referred to as "Grantee":

WITNESSETH: That, for and in consideration of the sum of one dollar ($1.00) and other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the Granter hereby grants unto the Grantee, its successors and assigns, forever, a perpetual access easement as described in Exhibit "A", attached hereto and made a part hereof, for the purposes of granting access for maintaining water and sewer, as installed in Exhibit "B" attached hereto and made a part hereof. Situate, lying and being in Broward County, Florida,

IN WITNESS WHEREOF, GRANTOR has caused this Access Easement to be executed in its name this ___ day of ____ , 20_ .

Witness:

Print Name

Witness:

Print Name

This foregoing Access Easement was acknowledged before me by means of D physical presence or D online notarization, this __ day of---~ 20_(year), by ___________ _ (name of person acknowledging), and is personally known to me or has produced identification.

Notary Public State of Florida at Large

My commission expires:

EXT6020.2016.16 REV 3 - 12/30/19 .A()proved as to tom, Janette M Srnth. City Attorney

201616

ESS EASEM ENT

DESCRIPTION

BEING A 20 FOOT STRIP OF LAND LYING WITHIN A PORTION OF THE EAST ONE-HALF OF THE SOUTHEAST ONE- QUARTER OF THE NORTHWEST ONE-QUARTER OF SECTION 35, TOWNSHIP 48 SOUTH, RANGE 41 EAST, BROWARD COUNTY, FLORIDA TOGETHER WITH A PORTION OF LOTS 9 AND 10, BLOCK 10, MARGATE SIXTH ADDmON, SECTION FIVE ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOK 5 6, PAGE 30 , OF THE PUBUC RECORDS OF BROWARD COUNTY FLORIDA, MORE PARTICULARLY DESCRIBED AS FOLLOWS:

COMMENCE AT THE NORTHWEST CORNER OF SAID LOT 9, MARGATE SIXTH ADDITION, SECTION Fl\lE;

TIHENCE SOUTH 01'01'15" EAST ALONG THE WEST UNE OF LOTS 9 AND 10, SAID BLOCK 10, AND THE EAST UNE OF NORTHWEST 65TH AVENUE, A DISTANCE OF 83.44 FEET TO THE POINT OF BEGINNING;

TIHENCE SOUTH 89' 33'14" EAST, A DISTANCE OF 60.45 FEET;

TIHENCE NORTH 45'26'46" EAST, A DISTANCE OF 61.40 FEET;

TIHENCE SOUTH 89'33'14" EAST, A DISTANCE OF 452.41 FEET;

TIHENCE SOUTH 44' 33'14" EAST, A DISTANCE OF 27.44 FEET;

THENCE SOUTH 89' 33'14" EAST, A DISTANCE OF 67.95 FEET;

TIHENCE NORTH 45'26' 46" EAST, A DISTANCE OF 69.58 FEET;

THENCE SOUTH

TIHENCE

TIHENCE

TIHENCE

TIHENCE

EAST RIGHT OF WAY LINE,

COUNTY, FLORIDA, CONTAINING 15,812 SQUARE

SURVEYOR'S NOTES:

1. REPRODUCTIONS OF TrllS DOCUMENT ARE NOT VALID WITHOUT THE SIGNATURE AND ORIGll>IAL RAISED SEAL OF A LICENSED FLORIDA PROFESSIONAL SURVEYOR AND MAPPER.

2. BEARINGS SHOWN HEREON ARE RELATIVE TO THE WEST LINE OF LOT 10 BLOCK 10, SECTION FIVE, MARGATE SIXTH ADDITION, (ASSUMED TO BEAR N 01' 01'15" W). SAID PLU RECORDED IN PLAT BOOK 55, PAGE 3D OF THE BROWARD COUNTY PUBUC RECORDS.

3. THERE MAY BE E,1.SEMENTS, RESTRICTIONS AND/ DR RIGHTS- OF- WAY NOT SHOWli HEREON.

THIS IS NOT A BOUNDARY SURVEY

PREPARED FOR:

CITY OF MARGATE Rr-.,,sE!) SkCTCH_.&,_t>ESCRIPTlON S£I 05/ 05/20\2 •I• '°" REVJSto SKtTCK-&....l>E'SCIIIF'T(lN SEC 05/ 01/2012 •I• .,.

SKtTCti_k_DtSCltlPTmw 0t/11/2:>12 •I• "°" REVISION 01\'N DATE FB/ PG DKD

FORCE MAIN / WATER 11.AIN EASEMENT SKETCH AND DESCRIPTION

CITY OF MARGATE, BROWARD COUNTY, FLORIDA PROJECT MUM9ER: 11-1610

f l!..£ NAME: XR-1610-FliA-EASEMENT.dw SHEET 1 OF 2

EXHIBIT “A”: ACCESS ASEMENT DESCRIPTION

~ UNE OF THE EAST ONE-HALF OF THE SOUTHEAST ONE­QUA TER OF THE NORHWEST ONE-QUARTER OF SECTION 36

I I I

_ 5..Q'.__ WIDE CANAL

i

12' UTILITY EASEMENT

I I

0.0011-~~­

- ----l,=;---,=,c!,l

2

3

6

11

LEGEND BCPR

PB

PG

CANAL RIGHT-OF- WAY

BROWARD COUl\'TY PUBLIC RECORDS

PLAT BOOK

PAGE

6' UTILITY EASEMENT (PLAT)

a, 0 q

-------- ------r--­BLOCK 10

SECTION FIVE (PB 56, PG 30, BCPR) MARGATE. SIXTH ADDITION

12

\

No1•01 ' 15 "W 20.01 '

POINT OF BEGINNING

NW 65TH AVE.

SURVEl'ORS CERTIFICATE:

I HtRtB'I' CElmFY TliA.T 11-1:S SKE:l'CH ANO 0£SCR!P110M IS ACCURA1'E TO TriE 8f!iT OF' 11.'t KNawt.mGE ,'.ND BEl..lEF J.ND t.!EUS lH£ l,IINII.IUM TtCHNlCAL STANOAAOS M SET FORTH BY lJ,,IE FLOR~ BOARD OF PROr""'ESSION.IJ.. SUIM:YORS AND IMPPERS IN CHAPTER UTS SJ- 17, FWRIOA ADl,Ut•USTRATM: CODE, PURSUAHT TO SECTION 472..02.7, i'\.ORmA S'TAlVES-

fOR 11,E F1RM, /----- 1 / [ ( i /:> ROBERT D. KEEN ER PRDFESSIO~ SURVEYOR AND W-.PPER /4846

THIS IS NOT A BOUNDARY SURVEY

RE\l!StD SKETCrC & _ OtSCRlPTIOH SEE 06/05/Wll N/A ROK

R(VtS~O SKETCtLdrc...DESCfUPTION S,( 05/01/Z012. ROK

SKDCH_ &J)UiCRIPilDM 0lt/; 2/201 2 N/ A P.DK

REVISION OWN DATE FB/PG CKD

FORCE IJAIN / WATER MAIN EASEMENT SKETCH AND DESCRIPTION

CITY OF MARGATE, BROWARD COUNTY, FLORIDA PROJECT NUMBER: 11-1610

flLE N.~E: XR- 15i O- FM-EASE .. 1ENT.dw SH:'.ET 2 Of 2

12' UTILITY EASEMENT

POINT r COMMENCEMENT

N.W. CORNER LOT 9, BLOCK 10

2

6

EAS. UNE OF THE EAST ONE-HALF OF TrlE SOUTHEAST ONE­QUA TER OF THE NORHWEST ONE-QUARTER OF SECTION 36

I I I

N44.33'14"W 27.44'

LEGEND BCPR

PB

CANAL RIGHT-OF-WAY

6' UTILITY EASEMENT (PLAT)

O'>

D D

- - BLOC~ 10 t SECTION FIVE (PB 56, PG 30, BCPR)

MARGATE, SIXTH ADDITION

11 12

\

No1•01'15"W 20.01'

POINT OF BEGltlNING

NW 65TH AVE.

THIS IS NOT A BOUNDARY SURVEY

SURVEYORS CERTinCATt:

I fstEREBl' CERTIFY TW.T TI·HS SKCTCH .ANC D£SCRIPnON IS ...CCURA.TE TO THE Bt5T or ll'( KNOWUDGr A."1D BEllEF I.ND l,IEETS 1HE MNIMUIA TtCHHICAL ST,V,ID,/\RDS >S SET F"OR'Tli BY iHE FlORIOA BOARD OF PROfBSIOt-W. SURVEYORS AND IMPPERS IN Ci-W'ITR lttT3 SJ-17, A.ORIO,\ ADl,UN!S'l'RATh"E CODE. PURSUIJ,ff TO S~TION 472.027, FlORftl.\ ST,t,.T\.ICS.

/16------ l /[c i t3 fOR 1'ME F1RM,

ROBERT 0. KEENER PROFESSIONAL SURVEYOR AND w.P?ER # 4846

SEE 06/05/ 2012

P.EVISEO S~ETC~LO[SCfUPTION

SKITCH_ &__OESCRIPTlOH OJ./U/ 2012

N/ A

N/A

R:>K

P.OK

REVISION OWN DATE FB/PG CKD

FORCE fAAIN / WATER MAIN EASEMENT SKETCH AND DESCRIPTION

l

I CITY OF MARGATE, BROWARD COUNTY, FLORIDA

PROJECT NUMBER: 11-1610

Fll.£ NAM8 XR- 15'!0- r"l.t-EASEMENT.dwg SHEET 2 Of 2

EXHIBIT "B": UTILITY EASEMENT DESCRIPTION

UTILITY EASEMENT

DESCRIPTION

BEING A 2D FDDT STRIP OF LAND LYING WITHIN A PORTION OF THE EAST OhlE-HALF OF THE SOlJTHEAST ONE-QUARTER OF THE NORTHWEST ONE- QUARTER OF SECTION 35, TOWNSHIP 48 SOUTH, RANGE 4 1 EAST, BROWARD COUNTY, FLORIDA TOGETHER WITH A PORllON OF LOTS 9 ANO 10, BLOCK 10, MARGATE SIXTH ADDITIDN, SECTION FIVE ACCORDING TO THE PLAT THEREDF, AS RECORDED IN PLAT BOOK 56, PAGE 30, OF THE PUBUC RECORDS OF BROWARD COUNTY FLORIDA, MORE PARTICULARLY DESCRIBED AS FOLLOWS:

COMMENCE AT THE NORTHWEST CORNER OF SAID LOT 9, MARGATE SIXTH ADDITION, SECTION FIVE;

TIHENCE SOUTH D1"01'15" EAST ALONG THE WEST LINE OF LOTS 9 AND 10, SAID BLOCK 10, AN D THE EAST LINE OF NORTHWEST 65TH AVENUE, A DISTANCE OF 83.44 FEET TO THE POINT OF BEGINNING;

THENCE SOUTH B9"33'14" EAST, A DISTANCE OF 60.45 FEET;

THENCE NORTH 45'26' 46" EAST, A DISTANCE OF 61.40 FEET:

TIHENCE SOUTH 89"33'14" EAST, A DISTANCE OF 452.41 FEET;

TIHENCE SOUTH

TIHENCE SOUTIH

THENCE NORTH

THENCE

THENCE S

44·33'14"

89"33'14"

45·25' 45•

SURVEYOR' S NOTES:

EAST, A DISTANCE OF 27.44 FEET:

EAST, A DISTANCE OF 67.95 FEET;

EA.ST, A DISTANCE OF 69.58 FEET;

SAID

SAID EAST RIGHT OF WAY UNE,

COUNTY, FLORIDA, CONTAINING 15,812 SQUARE

1. REPRODUCTIONS OF THIS DOCUMENT ARE NOT VALID WITHOUT THE SIGNATURE AND ORIGINAL RAISED SEAL OF A LICENSED FLORIDA PROFESSIONAL SURVEYOR AND MAPPER.

2 . BEARINGS SHOWN HEREON ARE RELATIVE TO THE WEST LINE OF LOT 10 BLOCK 10, SECTION FIVE, MARGATE SIXTH ADDITION, (ASSUMED TO BEAR I~ D1 ' 0 1'1 5 " W). SAID PL~T RECORDED IN PLAT BOOK 56, PAGE 30 OF THE BROWAR D COUNTY PUBLIC RECORDS.

3. THERE MAY BE EASEMENTS, RESTRICTIONS AND/DR RIGHTS- OF- WAY NOT SHOWN HEREON.

THIS IS NOT A BOUNDARY SURVEY

PREPARED FOR:

CITY OF MARGATE REY\S~r> SKCTCK_k_DESCRJPTION m O5/O5/20t2 ,;. REVISED SK!:TCH...LOE'SCR:IPTlOM SEE 05/01/2012 ,;,

St.:CTCH_ &_DESCRIPTl:lN o,;1212-:>12 ,;. REVISION OWN DATE FB/ PG

FORCE MAIN / WATER MAIN EASEtJEl"1' SKETC:, ~D DESCRIPTION

CITY OF MARGATE, BROWARD COUNTY, FLORIDA PROJECT NUIIBER: 11- 1610

F.OK ,OK

RCK

CKD

St.t~ET 1 OF 2

BILL OF SALE

KNOW ALL MEN BY THESE PRESENTS that ____________ , located at _____________ ("Grantor"), for and in consideration of the sum of Ten Dollars ($10.00) and other good and valuable consideration to it paid by the CITY OF MARGATE, FLORIDA, a municipal corporation ("Grantee''), the receipt of which is hereby acknowledged, has granted, bargained, sold, transferred, set over and delivered, and by these presents does grant, bargain, sell, transfer, set over, and deliver unto Grantee, its successors and assigns, all those certain goods and chattels described as follows:

Witness

Water and sanitary sewer systems, owned by Grantor, being the potable water lines and/or sewage collection lines, water mains, hydrants, valves, fire lines and related facilities constructed within the right-of-way and/or property of _______________ , which system is more completely described in Exhibit "A" and as shown on the sketch and legal description provided in Exhibit "B." Nothing herein shall vacate easements previously conveyed on this property.

By:------------Address of Witness Grantee: ______ , Mayor

By:-----------Grantee: ______ , City Manager

State of Florida County of ________ _

The foregoing instrument was acknowledged before me by means of D physical

presence or � online notarization, this __ day of _____ , 20_(year), by ___________ (name of person acknowledging), and is personally known to me or has produced identification.

My Commission Expires: CXT60!5.20!9.17 llCV 7-12/30/19

NOTARY PUBLIC, STATE OF FLORIDA

~proved ai to fo1 m J<Jfl<:ttc: M. $-"nilh, Oty Atlomc....,.

1?./30/19