HomeMy WebLinkAboutGeothermal Relocation Program Certification of Property OwnerTax Map Key of Property:GEOTHERMAL RELOCATION PROGRAM CERTIFICATION OF PROPERTY OWNER Date I CERTIFY, SWEAR AND AFFIRM THAT:I am the owner of the above referenced property;The above referenced property is within a one (1) mile radius of the Puna Geothermal Venture facility;I purchased the above referenced property before October 3, 1989 or Received a building permit for the dwelling unit before that date and final inspection for the dwelling unit has been completed by the Department of Public Works, Building Division;I occupied the above referenced property as my primary residences as of October 3, 1989 or immediately occupied the property as my primary residence upon completion of the dwelling if completed after that date;The above referenced property and its improvements conform with applicable State and County laws, codes, ordinances, rules and regulations; and I wish to relocate and sell my property to the County of Hawaii under the Geothermal relocation program.I understand that in the event that funs are initially insufficient to purchase all of the dwellings and properties, those located closest to the Puna Geothermal Venture facility shall be negotiated first.Signature Print Name Mailing Address Telephone Number STATE OF COUNTY OF I, undersigned, a Notary Public in and for said State of Hawaii, hereby certify that is signed to the foregoing certification, and who is known to me, swore and acknowledged before me on this day that, being informed of contents and the penalties of perjury, he/she swore to and executed the same voluntarily on the day the same bears date.GIVEN under my hand and official seal of office, this day of 200 .Notary Public My Commission Expires: