HomeMy WebLinkAboutFilled Lands Affidavit1, the
Part;
M
T. ' T�,C0 T`3Z
23�a ors
•�ortri�2 •�'sa9s�srsa
77Z•4bx 1553 .
tiie fgllowh4c, descccbed property: Z S
;For wbici7 I have aPiPlied to. St. Lucie County for a Final Dev *jcpj leni 1'ezrptit, In acceP
tbiSF1hal Developm'entpermit, RP Number
the above de"I deed 0 ' . ; I acknowledge that as, owne
pr %j aad in accordance wfth•Section 7.04.01(DI St. Lucie cot
Land Developrrtent Cc@e, I shall be Lespansible for assuring adequate dcafnage to that
ignmediate co, be a veisel
gtantin tbi8petmit;Fpr ergvelOpuieri¢ofdibzs ya€€ECEed IfuFtherack�sowledge;'ie
nor liar to pzow� c.�ox, or a intav� is 4 P , St Lucie Cots�tty'is neiietiex01il
wi(I not aatTre,CGely iaF r't the
aiTGte $fie C ��a� draaatigeo a+sy op�cey whl
Maitl7ew Lyle rniarisn
Property bvrtter Name Property owner ftidture Date
S'PAT,EOFFC MA,'COUNTr6p�St . Sto is
ACKNOWGEDCv.BD$):E•ORE1vf5TQ[S_/� .
DAY'OF /-f'/�R I L'
8YMat,t:Fiew L 2e ppc�tY#,E•�� . VM0-2SP8[tSQNAI.iYK"N"1'0•MEOItWt•20WAS FROCUCL'O
• /} SY0)5NMCA7MN.
0.oRi+
37GNA�i1Y2'EOFN TA&Y
-95TAR'i IRA13Y: • T1PLE
TYPE OR imrt Ah473 OPNOTARY
COMtvfiS (SCA6)
DOROTHYANN BASKIN
IdY COMMISSION # GG 030145
✓G ?:
EXPIRES: October 2,2020
••L;3;t_;y:+ Bonded Thm Notary Public Underwriters
in
0&�� 4