HomeMy WebLinkAboutFilled Land Affidavitr.
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�RGfi; �i 34952:5658
1, the WAdecsrgned, am the Own of r. ie followzng described pxoperCy:
Part of 3414—SO'-3701=0:00 '�.i• 8�:ca.a 26 i ci
Dow:ris:ni 36s ' &.
Range 4oz
• E�:ajc n3/l;•:sgades�p�,oN.�ddress}
:For wviucb I have applied to. St. Luoie County for a Final 3)e11e1opxnent Permita
NS Rhal Developmailt pe�t� gp Nuinber In ccept�i'ng
fe above described re •e ; I ach- owledge the It as owne �'of
p P y� and in accordance with.Sect-faa 7.04.Q1(D)' St. ,-Cuc'e Codaty
Land Developpxn"Q't Code,. I Oball be rmspansible for assuring adequate dcaa�na so that
1E
a�mmediate coxi'Arnunity ,: NOT be adversely affected. X further aclrnoW�tedge that is
gxanting tt�as pei n t for the te�reloprxi ti of ixizs property, St. Lucre County is neitt�er:nbli ed.
j�ox babe to Rrovid' for, oz inainaix
will not aawersely afFect e i ec %ate comas Fy, � irate ara x gE o; yp opeety Wh; h
Mtth.e . Lyle T4 . ,-ne
Property Owner mme Property Owner S1946ture Date
STATEOFFCOR1pA. COUNT`y'QF•- t . L— U-b i e
ACYCNO W�EUC1Eb $ ORE3Vi JrS _�,�_ DAY OF L `I
8Y Ma .t'Pi e.ta L 1 e Gt/y1T _VHO IS PAk8Q 'kMY M0'G 14-iO'M'S OR- V 140 WAS i'tLOOUct-l)
RO �•1 N eu leot YJ
SIGNATifRfi OF.NOTAI2X TYPE Olt kiNT Aldi OF NOTAYLY
T�OTAYt�i!:1�ff iYC THE x .:Tlfi i— T— H A BASKIN
MY COMMISSION # GG 030145
a,Qo EXPIRES: October2,2020
F,�. ,?.• BoAtled 7hru Notary'Public Underwriters