HomeMy WebLinkAboutFilled Land Affidavit2360''i�> tG AAV I 0
" F01T'=P3i�CE,'F, 3495�:56S8
772.46 3553
t
JAN 5l020
ST. Lucie Co nty, Permitting
the utrIdecs gned, a>r�a ttie.o�xrA Of fbe fo2iowing desczii�edpzopezty: � ��S
Part of 3414-503'�1�0.�-'00�0 16hh 26 To .ris:t�i �6\ &.
(Tai�B1ir al, desa Range 40 E
PE�.oNAddiress)
for whieb I have ap,Pixed to. St. Luc -le County for a. Fiztai 3eveio,P exit Peat it. Xn acce ' .
this ii�az pevelo a�iertt.Perrr it, BP Nuii�aber ,Pt�rtg
the above desczi'bed zo 'e ; I acirnoiwiedge that as.owne �'oi'
P P Y� a�xd in accordance wxtii,Secdo17.04.0j(D)* St..f ueje Codaty
Land l?evelopMent Cdde,. I shall be irespousible for assur xeg adequate dcaar�a a so that �I�E
izx►mediate co cnitj, •1--n- ►�, : Q� T. W adva sejy a;�ected. X fQC&er Acknowledge ti7tac in
g�cantiug this germ t ,foz tbe. ievapploeni ofs popercy,SLucre Co:yis ne�ee"Or tib to poviefor"tobli obliged
foixa, adec�r�t�te ctraix��gE o.� vvrr�y Peo�erey, vi►hi+ch
ill not adverseiy ai�fec� the z�nr�tec�ate�lcarx�rtii�i ty,
Matthew Lv1� �ii tine
PropecEj+ Owner N xne Property Owner SfO' dtare late
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2;";,?�-,,• OOROTHYANN BASKIN
= My CQM(AiSSION # GG 030145
I; EXPIRES: October2,•2020
t '' Bon,doa Thru Notary Public Underwriters