HomeMy WebLinkAboutFilled Land Affidavit1, the
Part
LY41
w, .
'F012T1tC,*E, Pi 3e39S2*5�52
777�4t6� 3SSS
tbef0110wingdescribedpropeny:\%1.
Sectf.o i 26 To ifs f 36 .Ran a 40S
�Bgd'� dPSCt`tnLnn/dAiteeea\
for which i have appiiAd to. St. Lucid County for a Fmmal Development Perr�aiC, In accep etl
this boveDeuffie3xeR(. ermit,DPNumber_
the above descried property, > I acknowledge that as own •oa
Land Develo i? p�erty, and in acScc'ordaace with•Sectian 7.04.01(D)' SL Lucie Cod ty
pMemt Cod . I shall be ire onsible for assariAg adequate drainage so ttfat he
iirtmediat¢ coli�muaity_T,. be adersely aeciect. X further acknowIecige E1iaC in
granting tbtspercn. Qr (he sievelbpriielli of this PzopertY. E. Lncie Caullty'is neither abli b
AOrlial}1s EO Ileovtde for, oraiaxntauFin anyfctial, ai�sguaCe draiuAge omey propeeey vYhii h
wsll not adversely aiiect the Anrm te`cDlnkitliiity.
Matthew Lvia ticxHn �'a�� O�\ej
Property bwr[er Name P Pony owner Sigdature Date
S7'nT,a0FFL0R10AX0UNTrGF_S_t.' rum;
ACTfN0WGEDQiS083}P0RE441.69fFifS /�O DscYOF FGEI ose'n 20 i9 p .
gYMat.thew L le wvnre� ispaRsRNA 2xrrrrozvidiro'setaeawt4oWASVzoauCto
.n [bL;NT%F[CfA7ION. .
�CSM-�C^f �OrQo"i>`N A/�sN �flS.etn�
SiGNATtiRli OF NOTARY TYPS Oat LfiWTWAiVfi 0F'M07ARY
NYSTAIYi!:P(i&TTE T19L6 (SeAtj
COMiV1rSStOMNliM98R
• ,��p; ;'-. ,• DOROTHYANN BASKIN
COMMISSION#GG 030145
EXPIRES!October 2,2020
'rid d tbm Notary Public Undervmters