HomeMy WebLinkAboutFilled Lands Affidavit• 2��0''i�ItG�IAA;crpi�r%1�
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RECEIVED—
NOV 2 7 209'9
ST., Lucie C unty, Permitting
1, the t-14dersiga�.
Part. am the.owneeof the fallowing describ�edproperty:
Of 3414-50I'=3�0:1-0.Op
Si�-Q. :.On 26 To --bib 36A ' &• Range 403
(T,are Bl� ega1 desciip6... ess)
:For vsrhich x have applled t0. St. Lucie County for a. Final Dev-elopr�ent Pextxut. .,athis �Fbial Derielopmeht•Pernut, l3P N'uirnber acc ep(ing
the above descxi°bed pp pro 'e � � act aIDWledge that as owne,~l'or
rty, and in accordance with•Sect ot� 7.04.o1(D), SL .Cuc a Cod ity
Land Development Cdde,. I shall be kesponsible for all8arir�,g adequate d,�aanage so that �Ite
i�x+mediate coa ou#.j, !y ::} bid ad'versel
granting:txiis ei`rnit,for e Y affected. X further acknowledge the( in
p th d velopx n eft.
S% Lucie Count -nor liable to p.rov i e fax, or a Y is neither :pbli ed
will trAOt a �eicsel a `feCt *ntam- in arty &in-4 adeg�a1. draxaage• oft my �p roparty *h i • h
Y the ftme ft • bjmr- iwty,
Matthew L-Vie 017.4ne
Property Owner Name P;roperiy Own& Signature Date
STATE OF Flr.OP.WA. COWJIT, C'OB' S.t . LU.41h-i e
ACKN0Wr,-L'b0.6D8 OR6iVfE 'igS,. DAXOF- 6jd ua-Yn dH72 , 2Q ff
aY ma t.t•h•e•y ' Lvl a f yn-he f idFISP&1ZSONAi��Y ICAiG�61►13'TO'Mlr OR WW0't WAS i+ltOt7tJCliD
• as rnurv�:x�cATxorr. .
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STGNA JR£ IOF•NOTAA?Y TYPE OR iPJN ' Kf W4i 0F31i0T' jtV .
i b AYt :pfi itC THLF' PC
corssro . �•
DOROTHYANN BASKI
'•,s MY COMMISSION # GG 03 145
• o; EXPIRES: October 2 20 0
•'•%�F�at: .• Bonded Thru Notary Public Unde 'lers