HomeMy WebLinkAboutFILLED LANDS AFFIDAVIT - 21 MONTEREYST. LTC COUNT.y
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tLe_wadersigned am fire owaefof the fORO
vi� described property: KPart 23414 03_.
.10'r which I have applied to St Lueie County for . F..,
this Fxhal Developm'aht. DeVelopment Pennit, Ym accep
the Peraift, R? Numbe�
above destri&d property, and in ac ackaowledie that as.ow'
Land Developmeu cordance ne
accordance, 7.04.01(D), St..tucie Cot
t Cdde, I shall be responsible for assuring adequate drainage so that
inaraediate community W. M- �LNQT be ad�rersely
granting this permit for Sze c%velopresent of Mraaracknov/ledgeCfizj
.nor I!able to provide PXOPWO� Si. Lucie County-jis Wither pblii
e fe.1 Or,"aiti inwill not adversely -affect e immediate
colmhm-afty. age Off mypxope'rty *h i
Matthew
4
Property Owner Name
Property owner ftndture - Dgft
STATEOFFLOPMA.cOUM-,yOr_At__ �Lucie
Orr —a2-"-RJ —L-, 20�[
IS PERSONALLY KNO" TO MP OR WVZ 'NAS PRODUCL:0
_
SYGNATUMOFNOTAPY TyPrZO'RiMTTq,4M_ZOFXOTA'PY
Co .. WITS81 . ON NUMBER (SEAL)
DORCTHYANNBASIM
MY' COMMISSION #HH045W
F J� EXPRES:0clober2,2024
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tICI-0-11A.
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