HomeMy WebLinkAboutFilled Land Affidavit i
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I, the wadersigned,-ain-the owat of the following.described property. .
Part of ,3414-,501" 1?01 0:0019; Sesdtio.'h 26, Totmr hib 36s 'I&. Range 400
(Tax•TDl�.egal desciipiion%Address)
l for which,S have applied to,St..L.iieie Colinty:for a Finial j7eveiopriaent.L ba—t, In accepting
this Fbaal I?evelopment.Peraut,.BP'.Number ;,Xackhowledge that as,ownerof
the above described property,-and in accordance.with.Sect oan 7.04.01(]7),.St.t ucle Codoty"
Land`Developxnent Code,I"shall'.be"responsible.for'asso.ring.adelgaate d iinage so that-the
ixnrnediate cWILL be zd-verselyaffected; X fuirther ackaxowtedge that in
grailtiag tbis`peru#t for the.4eve10pmerrt of this property,Sfi:Iuu e couxi-0 neither obliged
,nor liable to provide for;or�taaivtain in A yfoim.,acle+g6tirdrsi=ge off irkjl property=which
will:not adversely Wect_tbe itrirrte fiate coinrnbiity.
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! property Owner Name. Property"Owner Sigli6ture I Date
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NC}IARY Pt}}3ttC '!'1TS E Got MtSsYolV NU- R �u Notary State of Ronda
it Julie M assi
My Gommisslcn GG 038942
Ekpiro8101181200 .