City of Temple Terrace Customer Service

Additional Owner Signature Sheet - Planning/Zoning

2. THIS FORM MUST BE PRINTED, SIGNED AND BROUGHT TO THE COMMUNITY DEVELOPMENT OFFICE IN CITY HALL

4. Application Number

6. I (we), the undersigned, attest and affirm that all representations made in this application are true and accurate to the best of my knowledge.

8. Name*

9. Address*

11. Signature*

13. Name

14. Address

16. Signature

18. STATE OF FLORIDA
    COUNTY OF HILLSBOROUGH

    COUNTY OF HILLSBOROUGH

20. Sworn to (or affirmed) and subscribed before me this ____________ day of _________________________, 20___, by _____________________________________________________________________, who is personally known to me OR has produced ________________________________________ as identification.

22. Notary Public Signature
    ____________________________________________

    ____________________________________________

24. Notary Name (Printed)
    ____________________________________________

    ____________________________________________

26. (SEAL)

    (SEAL)

Leave This Blank:


27. Print Only

* indicates a required field