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Backup Documents 07/28/2009 Item #16A15 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP'26 A 1 TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 5 THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE ~ Print on pink paper. Attach to original document. Original documents should be hand delivered to the Board Office. The completed routing slip and original documents are to be forwarded to the Board Office only after the Board has taken action on the item.) ROUTING SLIP Complete routing lines # I through #4 as appropriate for additional signatures, dates, and/or infonnation needed. If the document is already complete with the exce tion of the Chainnan's si nature, draw a line throu h routin lines #1 throu #4, com lete the checklist, and forward to Sue Filson line #5). Route to Addressee(s) Office Initials Date (List in routin order) 1. Judy Puig CDES Administration 2. 3. 4. 5. <But:: "Filson, Executive Manager Board of County Commissioners +1Z-9~ {'i (\1 LTc.. H-IZ"<A. 6. Minutes and Records Clerk of Court's Office PRIMARY CONTACT INFORMATION (The primary contact is the holder of the original document pending BCC approval. Nonnally the primary contact is the person who created'prepared the executive summary. Primary contact infonnation is needed in the event one of the addressees above, inclwing Sue Filson, need to contact staff for additional or missing information. All original documents needing the BCC Chairman's signature are to be delivered to the BCC office only after the BCC has acted to approve the item.) Name of Primary Staff Marlene Serrano Phone Number 252-2487 Contact Agenda Date Item was July 28, 2009 Agenda Item Number 16A 15 Approved by the BCC Type of Document Executive Summary - Release and Number of Original I Attached Satisfaction of Lien. Documents Attached INSTRUCTIONS & CHECKLIST Initial the Yes column or mark "N/A" in the Not Applicable column, whichever is Yes N/A (Not a ro riate. (Initial) A licab Ie ) 1. Original document has been signed/initialed for legal sufficiency. (All documents to be signed by the Chairman, with the exception of most letters, must be reviewed and signed by the Office of the County Attorney. This includes signature pages from ordinances, resolutions, etc. signed by the County Attorney's Office and signature pages from 95 contracts, agreements, etc. that have been fully executed by all parties except the BCC Chairman and Clerk to the Board and ossibl State Officials.) 2. All handwritten strike-through and revisions have been initialed by the County Attorney's N/A Office and all other arties exce t the BCC Chairman and the Clerk to the Board 3. The Chairman's signature line date has been entered as the date ofBCC approval of the document or the fmal ne otiated contract date whichever is a licable. 4. "Sign here" tabs are placed on the appropriate pages indicating where the Chairman's si nature and initials are re uired. 5. In most cases (some contracts are an exception), the original document and this routing slip should be provided to Sue Filson in the BCC office within 24 hours of BCC approval. rxs Some documents are time sensitive and require fOlwarding to Tallahassee within a certain time frame or the BCC's actions are nullified. Be aware of our deadlines! 6. The document was approved by the BCC on 07/28/0genter date) and all changes made during the meeting have been incorporated in the attached document. The Count Attorne 's Office has reviewed the chan es, if a licable. I: Fonns! County Forms! BCC Forms! Original Documents Routing Slip WWS Original 9.03.04, Revised 1.26.05, Revised 2.24.05 16A 15 ~ INSTR 4325167 OR 4477 PG 648 This instrument prepared by: RECORDED 7/30/2009 900 AM PAGES 1 Jeff E. Wright DWIGHT E BROCK Assistant County Attorney COLLIER COUNTY CLERK OF THE CIRCUIT COURT Office of the Collier County Attorney REC $1000 3301 Tamiami Trail, East Naples, F]orida 341]2 (239) 252-8400 RELEASE AND SATISFACTION OF LIEN This is to certify that the claim of lien arising out of the Order of the Code Enforcement Board dated November 25,2008, a certified copy of which was recorded on December 2, 2008, in O.R. Book 4410, Pages 3212-3213, of the Public Records of Collier County, Florida, against all real and personal property located in Collier County, owned by Empire Developers Group, LLC, has been discharged in full: Empire Developers Group, LLC Collier County, Florida Payment: n/a (resolved via settlement) Reference: CEB Case No. CESD20080007919 The undersigned is authorized to and does hereby release this lien as to the whole of the above-described real property, and all other real and personal property owned by Empire Developers Group, LLC, and consents to this lien being discharged of record. Dated this J<O.J~ day of :July ,2009. . ' '. , -. ~,~}~, . n ~';t~ ~~f!' ~,li~. > BOARD OF COUNTY COMMISSIONERS ATTES,T~ \,;)..j (j;t.- ...... - .' :""~ . ....... '. ,v .)fi,'" D~@flT't. BRO~~lerk COLLIER C UNTY, FLORIDA :">-,' " .... "'-"f~ ~. J~ ' --- ';.. ~. , ~ ~ ,P ~. ':Y:, .1' ~ By: DO Approved as to form and legal s IClency: ~ right t County Attorney