HomeMy WebLinkAboutFilled Land AffidavitF012T'L�1RG,' 34982-5�5�
77Z-4tG� 1553 .
f
1', the addecsigned, am the.o�uuerof the follow'
Part o f 3414-50I'=i �0.1 .: • • ing descnb�ed property:
lib (T,aX`33)% a ai de ah 36A Range 40E
ffi s p�ioti.Addcess)
for whiob x bave applied to St. iuoie County fora Final Deuelo sent �e .
this Fhaal Develo�pment.Pernjjt, BP Number A xx t. Xa accep ng
I above described ro 'e ; � acknowledge that as owc0 of
P P '� and in accordan a wi�th,Sectiot� 7.04.01(D)' St. Lucie Cod 2
ity
Land Development Cdde, I shall be iresponsible for assuring adequate draa�Ia a So that tl�e
immediate 962k anity..w : — be a6apaQy affected. X fqr&er 4ckrtowtedge that is
giant g this permit for tb i d,ev� opx+*ien of ixs p operty, 3€. Lucie County'as ne Uier:obli ed
.mor llible to pcov .d :fo
i c, or a ain� n tay fct£m, ade• >aat�: dr .
It trot aalversely a# ec & i aec "ate s `� azna a o. E
goy.
NlatheW Dvla T4V.kjme
Property Owner Name P;roperty Owner S Adtare Date
srATSOFF11LORMA.cOU"TrIblu - Lmble
F•
ACK(VO•wG WC.'GD $VOReibf&
�DAX OF f'i°T2'7'y16e72 , 20 �
8Y �a�P')•e•W , L V 3 e .�Ovrt1!`�e wHC! XS PEItSONAL'L1f If3tZi0'G9i3�'t'O'ME Ot21Ti+t�t0 R•1AS AROplJcls`'O
• as ro;E�v�:nzcarxoiv. • . .
37CAtATtTWE OF• . OiAttY TYPE Ott iPJ14T NATi4i OF Mormy
AVOTARY-TERE-1C ' i'M`L • ' (SCAT.)
.c'QiVti�rs$rciV'rt113IVreElt
DORpTHYANN BASKIN
? MY -COMMISSION # GG 030145
EXPIRES: October 2, 2020
•''' 4°;; oag Bonded Thru Notary PUblic Underwriters