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HomeMy WebLinkAboutFILLED LANDS AFFIDAVIT - 4 ESPANOLA• 2300`VT%tG�S�7"ilaAV7 F'O.i2TP.i»EitG� � 3�982-5b5� . TT2,G6� 1553 I, a Undersigned ara file a�vx. aeo€ die fonowia desar€bad roe i Part or 3Q14-501-3T�47_•nrtin.in_ g ly P EA Ran for whicb I have applxed to St. Lucie County for a Final Aevelopment Pe*rrsit, In accepCir this Pinal Dedelopmeilt.Permit, SI' 1�±. the above desczibed ro �e �zber cordance I acknowledge tbat as.owaet'ol Land Developlllent Co e, I shall be espo s ble forssarin aade¢ ¢ to diasa �e So that tacy ine immediate coz�tmun�ty .AiQ3� be ad�rsrsely affected.gl ivzther aokrtoW�tedge that �n gzanting tbes permit for tYeed�velopnient of tkiis.xoperty, Lacie Ceurfy is ar�iThes afrlig�ed ;nor no, a CO provide ror, Or- mmntafn in aay form aeFeg, ate vsai� zgE •may P operey wfii h vwaXt mot adversely a fact the iMME,'corrli Matthew LV4 Ei7ynne I?roperEyOwnez?Varrte ProgertyOwner SIPlature Date STATE OFFCORMA.'COUN,yOF rL-- Tu�bie ACKN0WLE'0C:EO BEFORE N£i tVS DA`l OF J�( L BY Ma t t Fi BY Lv3 e Fn7z7TTTre pip g pERSONA CY KNO*:4 O M£QR WVtO 74AS PR•00UC1-'0 AS1 BN7'rrZCA77QN. 8YONAT.UR£ OFNb4ARY 90TAP PEt`r M TITLE TYPE Oa ?RENT NAME OF;YOi Npy PSAW DOROiHYANN BASKIN MY COMMISSION # HH 045443 EXPIRES: October 2, 2024 C1 �C2� 40B