HomeMy WebLinkAboutFilled Land Affidavit.L.o L upc..�- -- - ------
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OR '' l tG .34J B-S6S 01 21,
. 772-¢6��SS3
ST: Lucie County, Perm
1, ebe udecsrgned, a>na tkiie.o3x%aeof the faorixg described pzoperCy:�� VlD Park of 3414-50 Seir>r1.Oh 26 To .ris.ni 36:s J
fTa�c i3l egaJ descxip1Wn/;� Gas*
Ran e
:For w1cb I Dave applied to St- iucxe Courtly for a 3�irtal i�evelopt�extt pezrtait, xn acce t'
tbIS �ii2al Developxneitt,pe fait, $p` iu tbez . P ng
the above desiodbed z0 .e . and in accordance u+ith,Scctz'oxt 7.(!a Q {OWIedi that as ow ae Cod of
.and Develoty
pment Cdde,.1 shall be xesp6nsibl-e fox asst g adequate dxaar�age i �trat tiie
immediate cbcuxtj, !j. b� adorer
gran zog Ibis pextxtit fcr the
ain�ada rGh!at
nor Ila�e.pYeCoun's n d c oblijeidox,oz ' P n
. a� �� any foix�, aiie• �aee: ctr �h
will not adversely ai�Fec the ib��edza�� " � ����E °f r+zY,009dety why
�co�€�i�.i�icy.
1
property Owner Name �
props ity owner Signature Date
STATE OF FILORMA, cour���aF s.t . ' L*i e
�1ZtCi�JO WLSi]C6b $ DRE 1Vi F�}S DA i OF 4
8X �!'� tiheW T, y3 C .FO•iFt'i� '�'0!'�S P�ltS0T+1ALZY �O!i+�i3T0'3�:fE OR H+YtO {ttAS t+ROQtICL'Q
. AS iD�i`1T.,1�tCATtOiY. .
I �a R a.TN Y �iyn0 )64SK,,J .
STGI�A i}l2�E rig. 't'Al2Y TYPE Ok2 i?Rw14W i OF U0Ti jtV
N0'Al2i�: nfe, ' x ri (SC�1.}
P. 4
OOROTHYANN BASKIN
MY COMMISSION # GG 030145
• � _ F c EXPIRES: October 2, 2020
Bonded Thru Notary Public Underwriters
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40 E