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HomeMy WebLinkAboutFILLED LANDS AFFIDAVIT - 58 MEDITERRANEAN NORTHST. LU RU 23bfl' G� Xi AND= 'FO.tZSP.iE226E, iL SLIM-5652 7?2'-462-i553 Y, Cbe Udderszgaed, am- ft- .Ow.needf iie fotlo rizjg desariised prop ert S� e c1 Pars of 34i4_5O '-27Q1=OCSti1�s:. ee.„ __ -- p p Y for whicb I have applied to. St. facie County for a final i3euelapmeni Permit In accep this I~ii�al Deveiopateist.pert l t, Si'-Nuistber the above described propey, and in accordance wir2a Seca z n 7.4 f3l jD�, Sl:ucse Cone t La;cd Developrtxeat Cade,. I shall be responsible for assur g aaequate deaf sage so that arnediate cox�xoaity�. be adversei 9 granrsgthtspemzLi;forFhervelopa�entoPhis zo ertE S€ Lvcie Qy�ckrsavriedge �ha ilable to pcaysde fox, ora+azntaue in aT� + P Y ryas r�exttzeepllli wftl riot adversely affect the i;ii ie . aaegLate:arz3aa oFi y�, of e2�y wh; d�atecor�zitti�i�ztq. Ma chew LvZe Ei7viine Property Owner Fame tY Pro p. er Ownar Signature Dae STATE Or FCOR*OA, COUNZYaF SE . 1722�Gi e ACKNOWt.E0CEEDBEEOREM&MS �J DAXOF ©GTo�3e`72- .2D=}/ axMa .t-h•e.w LV12 [bji]� r�r QiSPEZSONA GYKNO$99TOMEORwF?o7iASPROOViceO SIGNATURE OlI•/NOTA>.2Y T°1PE O.i ngrxANEOFKO7-A-PY iVbTARY:i1fi•iTC TPFLE 40II� W N NBA 'IN MY COMMISSION #HH 045443 A. EXPIRES: October2.2024 . `. Bonded TMu Notary Pubrro Underwriters its c 4 -Z-c-C� 4OB