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HomeMy WebLinkAboutFilled Land Affidavit $T LUCM:'Clo 17 7 RECEIVE© 'FOR'T PIBRCF.s.: .34ssz s?52 J U l �.4 20� 7?2-4r%4t53 �y ST. Lucie County, Permitting co q the undersigned;am:the ownez of the following described propertr� �,SJ Part o 3414-502-Y�02 0:(?�/9 Seat ob •26' Townsnzt , 316s-&. Range 405 ' 71ia -l'Y A gai descrip 6n/Address) for whicb Thave appHed'to St.:Lude Countat. s dais-Final'Devetopme-.Pexis*,BP NUjhber ,Tadmowledge thei as ow6et Of the above descri ed.property;.aixd iza accordsnee v ;Seco ?:Q .t3 (D) St:Irucie Cauiaty Land bevelopment,Code,I sbaA be kespousilje,foz asstarl tg_adequate.ftbage-86 that.file ipMediate corplmuuity WILL- -�;O 'be.adversely afftted. T.AIrtber.ackaowledge Oat in :;gmhting:tbispermirfortbe•levelbpmemt:oftlzxspiroperty,S .'Lucie.Coun yls neitherobliged i ar Viable to pxov de for,orxaai taixi in anyfoam.,-da Ud a c�xaixxa�e'off:xny:�aeopex%y whech . *At Licit adversely a�ce the i ze'c�ate;ebinfthify. y1eVyiine Property.Owner Name Property Owner Sig iture nate. STATS OF 0C0RTAA;'COUi+t ' S C ACKNO'W'L'k?L aW$EFdM2vCFi TM, .DAY OF 20 8X_Mat t-�he-@J LV1 e: -Mvrtn e R iO xS P>rt2SONAEx:X O4Vi3"FO'Nt Q1t wwt �1 SAS mocructo ' - - AS f13LNTtF[CFi7'1Qri`t:, • 9A�UFtE:O> N07AitY TYPE,i,iPRIM'l4#M'E'OEN0TA'RX Ni9'�Att'irt�f :;7C • Tl�`LE.- COM'IvItSS�QN�N17tvt331ER Notary;Public State.Of 110144 Julie Nigassl .� MyCanmtssW GG 038942 er iixovrslbll &2020