GOVERNMENT OF THE VIRGIN ISLANDS OF THE UNITED STATES DEPARTMENT OF

PLANNING AND NATURAL RESOURCES DEVELOPMENT PERMIT APPLICATION



FORM L& WD-5

PROOF OF LEGAL INTEREST



AFFIDAVIT



y, U.S.V.I. SOCCER FEDERATION, INC

Applicant(s)* (or John Doe of Entity Applicant)



being duly sworn depose and say that:



1. APPLICANT am/is the (check one)



(I or Entity/Applicant)



CX Record title owner (fee simple) [Lessee (J Other (specify) |



Of the real property described as Parcel No(s)_N-1 REMAINDER OF TRACT 1



Estate NAZARETH Quarter RED HOOK Island ST. THOMAS



*Applicant(s) is required to provide documentation for legal interest stated above (e.g. deed, lease,

etc.)



2. Ihave the irrevocable approvals, permission, or power of attorney from all other persons with a legal interest

in the property to undertake the work proposed in the permit application as more fully set forth in the exhibit

(s) attached hereto:



IE __yfff4

Signfature—~ “Date Signature Date



Print Print



The foregoing instrument was acknowledged before me this _‘ | day of Mr



/ t

at s (SZ, county



ELTA



v



My Commissio# expires



i CECILIA WILLIAMS

Notary Public

St. Croix, U.S. Virgin Islands

NP-684-23

My Commission Expires August 4, 2027