HomeMy WebLinkAboutFilled Land Affidavitr
M.
792.4�6-1SS3
ST. Lucie County, Per fitting
Lm
. I: • '' �.. r~•_ ' n'{ �..?1 •? f � 'ate
1, the undem g ed, am the .o� Ameof die foliovrzng desc��ed .zo .e� ; S ��
Part of 34�4— —
SOI �7OQ.Op 9 se' 26 P P Y
c..o n Ta .ris:tz i 36:s ' &.
' Range 40E
(Ta�'c i}3f�;egai `�iescript,oNAddiress) .
:For Wh ieb x have applied to: S.t. Lucie County £or a RinaI Dev,iopMexit per -t, xa acc ti .
thi s Pibal Developxnent.Pez ai , Vp i u>: ber ep ing
the above described ro 'e I a0aowledge that as owne, "of
P p rf% and in accordance with•Sect an 7.04.0I (b); St• .Lucre Cau ty
S.atad DeueioPTent Cdde,. I kbili be resport
immediate ccusibie for assering ade aate dta3aag+r so that am ty> be adversejy afi-ebted. X fgrbi`er AckA, o4lo tge fhatl in
gxan ir�g ibis pe to t ;for tine deve o re a of
vor liabie to p ov id fac, or• `. a : P dizs•,p�operty, S . %cie Co-untyl ne t{i :obliged
uraii uQ nave �? aizt an airy fob, adegiii re: c�raa age cif erey p aper�jr which
cseiy affect theilec3aae' cbmi�ity,
Me: t t ti•e•ur LTl e' �►irir� e
Property Owner Name Property A y O wnes ftditare Date
STATE OF FLORWA. COUNTY-6F'st Lmki e
F
acrcNowtavcEo a oRe r s aAi W �� C7 0-5d
8X Ma�%`1L W • L ' 3 G .f�05�'a3`!:e i�S���S P�RSON'ALGI! i£i�iG�iiYi�To'ME oR i�i+t�tO R.t�1S t�ROCtICL'!�
AS OBNT RCA710K.
I k oTK v i} Sri,-►
3TGNA3'iTl2iE OF.NOTARY TYPE OR imITNAM•ir op moTARx
PSG o',"-.. •sM
BASKIN
* HH 045M:ma '�`:r 2, 2024•'''•'foF c; ?°`''� iC{lndelwlitete .