HomeMy WebLinkAboutFilled Land Affidavit ..su.:: P*J'.�`.•F./ 'J:'V-`J."a:rs�.rOW' Ate{ t
FORT.PSER�;�L 349$2=5552
04
41
rbe 0.dersigned,'arn the oWnee of tbe following described property:\n
Part of .3424-501,'"2701-••0010/9; Sectioiz 26, tow*e•sh b -1 &• Range 40S
(Tait Mt L'egW de$6fi t n/Addcess)
for wIiicbT.have applied to S.L Ocie County for-a Final Dayelopment Perm,At. in accepting
tbis Fibol Developmtt.Pezxr it,BP'Nurmber I aakaowlerige,ibae_as_owindfof
the.:above describi d property,artd in aecozclance.wi Seeti�n x.{34 33.(1 ),Str ucse CQ--
Land Development Code,,I tb- Q,be kosponsibie for assriiring adeq�*dxailant to that the
iimmedaate;con mluaity' D7LJ .140T be aclwersely of cCed. .I fv ther acknowledge that in
grartzeg tbis.pezeait for teceveloexxt o�Ets pzaperty, :Lucze CoutyseiEYi =+ iiged
.nor llabl•e to pxo'vzde,fac,or iaaiutaixi in". fozzi ,adequate ctzain�ige oz y. , operty wh�c4,
vuili mot advemely dflect fheitximodlata coinftr tY.
Matthew Lyle AV.hne -
Property Owner Nam Property Owner S g diture Date•
STATE QMOMA.COtTNxX bf 8—t- 'L i ei e
ACKNOwI.EDC%ED EEFORE i Tt3tS DAY 07' .20—
BXmat:tb-eW LVIA- .I�Vrttie_ t Ht�l1SPERSORTALY.YKNO _CO J! E'O12V�ti0ltASt'tt00VClri3
AS[3?•Ht`11 MATMN.
Y ` VI r, :�sLL
S7 aTU R7E OF NOTARX TYPE Oat L�RW 33Wz tap 1,=A Y
(SSAL)
T�TCITARY PCfBtTC TITLE. coivt"ti ssiou Milli np,
ov Notary pUbUG State of Florida
Jude Ninassi
My Ccmmisslon GG 038942
Exp�ns`1011812020