HomeMy WebLinkAboutFilled Land Affidavit BUILD',�G. 4 ZVNWV"
M00 VI[tG IA A`%? U
FORT'PMRfi E FL.349$2=5652 I
772-d62-I553
I,the undersigned; h deescn -dam te fefollaw vWnero
PPe `Ll .
#.13fl6-111—(i'ilt)1._f hQj-Q' F"4'7: A 3Q ai l f-]am- pa#
E't' legal P ) northeasterly of -5
descri tionfAddress I-9.
for which I have applied.to St Lucie County for a Final Development.Permit: In:accepting
this Final:Development Permit,BP Number _I acknowledge that as owhdr of
the above described propperty,and in areordance with Seddon'.- .01(D ,"St.Lucie County
Laud.Developinent Code,I shall beresponsi for assu ing.adegwte:clxai ge so:=that the
immediate comimuni y WILL NOT be'adversely affected: I'fint'her adm wledge tbat in
granting this pe for the development of this property,St.Lucie County is nethexpo. g
nor liable to prow de_for;:or,.mainWn in any form;adequate draimp off my property which.
w ll.not adversely affect the immediate coiI�unity.
Matthew- LV-, p: w=ZIP
Property.-Offer Name Property Owner Signature: Date.
STATEOF.FIARLDA„C4UNTX.OF St- Lt3Ca:e
AC OWL$DtsED'BEFORSMETM DAY OF _:20a(.
e.
BY Mat he t, la_W3znlio_ Wkdl3VPER,SONALLYM46VViTTOMEPRWH6-HASV%RODUCED
AS MENTRgCA'nON.
I
SrNATUn OF ARY TYPE.ORPM-rr NAME OF NOTARY
(SEAL).
N-QTARY PTJBLIC TEME F ivIA2IS$�N•I�IUIylBER
,try bOROTNYAiVNBASKIN~�
.MY COMMISSION HN C45d�3
FORI_S.;O;l0g2,.2024,
rEOF Ft�r Hand d'Tdru Nota y eP05d.UnderA, tets
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