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THE KIMBERLY HOME INC , . -. t I l 99-347656 OCT-22-1998 2:44PM PINELLRS CO BK 10701 PG 901 ___J 1IIIIIIIIIIIIIIIIIIIIJlIllIIlIIIIlIIIIllIIllUlII__ ,Prepared by & return to: ,// Earl Barrett Engineering Administration City of Clearwater P. 0, Box 4748 Clearwater, Fl, 33758-4748 E A S E MEN T FOR AND IN CONSIDERATION of the sum of One Dollar ($1,00) cash in hand paid to it, the receipt of which is hereby acknowledged, and the benefits to be derived therefrom, The Kimberly Home, Inc" a Florida corporation not-for-profit 1189 N, E, Cleveland Street Clearwater, FI, 33755 does hereby grant and convey to the CITY OF CLEARWATER, FLORIDA, an easement over, under and across the following described land, lying and being situate in the County of Pinellas, state of Florida, to-wit: The West ten feet (10') of Lot 8 Block D, BASSEDENA SUBDIVISION, according to the map or plat thereof as recorded in Plat Book 6, Page 26 of the Public Records of Pinellas County, Florida, This easement is for sanitary sewer purposes, The CITY OF CLEARWATER, FLORIDA, shall above described premises and to construct, sanitary sewer facilities and to inspect facilities from time to time, have the right to enter upon the install and maintain thereon any and alter such sanitary sewer IN WIZfSS. WHEREOF, the Grantor has set its hand and seal this day of _ km..lu./L , 1999, ,/ cQ;lJ1e! Signed, sealed and delivered i~pre~ence of: ~~"' WITNESS fn 1-1/1 LL-- Witness' Printed Signature THE KIMBERLY HOME, INC. By: ~~DaY~dent tWJES ..7? ACGT REe "15,0() R219 , '10 OS INf FEES MTF PiC REV 14- TOTAL 'IS. 10 - CK BAL CHG AMT -.Attest: ~ ~ gau/;6 Ma Ann Baralt, Secretary Documental)' Tax Pd. , $ , 70 Int.:m;;;:)J T.::1.X Pd ',,', F' . f'. . '.';IIl,. ,;4Jlr..s C.ounty Deputy Clerfc (2) / (' ' (;/ J../ r"l /- '/ I' {,/ ",/ ,'-' '\. " .. ' , ~ , , I I COUNTY FL.R. PINEL.L.RS 10701 PG 902 OFF .REC,8K Page 2 - Sanitary Easement Grantor: Kimberly Home, Inc, Center Partnership Grantee: City of Clearwater, Fl, RE: Lot 8, Blk, D, BASSEDENA SUB. STATE OF FLORIDA :ss COUNTY OF PINELLAS Before me, the undersigned authority, this day personally appeared Ronald Day, who executed the foregoing instrument as President of The Kimberly Home, Inc" a Florida corporation not for profit, who affirms that he is duly authorized by said corporation to execute said instrument and that said instrument is the free act and deed of said corporatio~, L WITNESS my hand and official seal this :Z~day of ~ ' 1999. MAE j"HA L, BULLlNGTOi! NOTARY PUBLIC, STATE OF FLO:'.DA MY COMM, EXP, JUNE 26, 200:': COM ,Mr, ;.c~~ 139 N Type/Print Name [ ]~rsonally Known [v] Produced Identification Type of Identification Produced ~ ... - ' . ~.. ~,~ . J Sanitary Easement Exhibit ~I A" I PINELLAS COUNTY FLA. OFF .REC.BK 10701 PG 903 ~ ~ 1"=50' DREW 5T, 2 1 S\' ~~\) ~<v 'v G'vS ~~. 1 52 w > 50 <( 0::: =:J 8 7 0 6 Ul Ul - :2 BROWNS CT. 1 3 4 5 2 CITY OF CLEARWATER. noRIDA PUBUC WORKS ADMINISTRATION ENGINEERING S-T-R: 15-29S-15E Grid #: 287 A THIS IS NOT A SURVEY D.l. 9/7/99 ".:.. ) I AFFIDAVIT OF NO LIENS STATE OF FLORIDA :ss COUNTY OF PINELLAS BEFORE ME, the undersigned authority, personally appeared Ronald Day, as President of The Kimberly Horne, a Florida corporation not-for-profit, whom, being first duly sworn, does depose and say: ~ ~l!) /-pen-^, T"Io..+ r~ 1, That said pod-I'tYlcYJfiip is the owner of legal and equitable title to the following described property in Pinellas County, Florida, to wit: The West ten feet (10') of Lot 8, Block D, BASSEDENA SUBDIVISION, according to the map or Plat thereof as recorded in Plat Book 6, Page 26 of the Public Records of Pinellas County, Florida. 2, That said property is now in the possession of the record owner, 3. That there has been no labor performed or materials furnished on said property for which there are unpaid bills for labor or materials against said property, except those which shall be paid during the normal course of business, and no others 4. That there are no liens or encumbrances of any nature affecting the title of the property hereinabove described, except easemen~s and restrictions of record, 5, That it is hereby warranted that no notice has been received for any public hearing regarding assessments for improvements by any government, and it is hereby warranted that there are no unpaid assessments against the above property for improvements thereto by any government, whether or not said assessments appear of record. 6, That there are no outstanding sewer service charges or assessments payable to any government, ,. I I Page 2 - AFFIDAVIT OF NO LIENS RE: Sanitary Easement Grantor: The Kimberly Home, Inc, Grantee: City of Clearwater, Fl. 7, That the representations embraced herein are for the purpose of inducing CITY OF CLEARWATER, its agents, successors and assigns to rely thereon, Signed, sealed and delivered i~nce~ WIT SS P~iNI: /-114- I ( Witness' Printed Signature By: "-I WITNESS Witness' Printed Signature Sworn to and subscribed to before me this ;2~ay of ~ , 1999, Type/print/stamp name of acknowledger MAF.THA L, BULLINGTON NOTARY PUBlIC, STATE OF FLORiDA (stVftoMM; EXP, JUNE 26,2000 COMM, II CC 567139 [ ]"-personally Known [ Vf Produced Identification Type of Identification Produced ..:.- '... r\i. I Sanitary Easement Exhibit 11 A" ~ ~ 1"=50' DREW ST. 2 1 s'\. ~~\) ~<v 'v G'vS S. ~. 1 52 w > 50 <( n:::: ~ 8 7 0 6 Ul Ul - 2 BROWNS CT, 1 3 4 5 2 CITY OF CLEARWATER. FLORIDA PUBUC WORKS ADMINISTRATION ENGINEERING S-T-R: 15-29S-15E Grid #: 287 A THIS IS NOT A SURVEY D.L. 9/7/99