HomeMy WebLinkAboutFILLED LAND AFFIDAVITAd
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1, the undersigned, -am the Owner6f the
Part of 3J414-501'-1701-00*0/9;,
(Tax ID/Legai
for whicb I bave applied to S , t. Lucie Col
this Final Development.Permit, BP . Nurr
the above described property, and in ace'(
Land DeVelOPMent Code, I sball be resp
i-mmediAte con4mu-nityWILL -NOT be
gra�dng tbis permi-tfor the devel '
Opzn�nt
)]or li0le to provide' -for, or-tnairitain in di
will not adversely affect the im-imediate o
Matthew Lyle-Wvnne
Property Owner Name
STATE OF FiLoRWA, COUNTY 6F_
ACT(NOWILEDGED BEFORE ME THIS 23 DA-i
-By Matt h-ew LVle Wvnn.-e -wTib Isj
AS
'LA
U
SIGNATURE OF NOTARY
moTay Ptmuc-�_, Tru
.T
RECEWED
$T.L'UC'1E-: COUNTY
'9-UlUiING &"'Z.Z3N1NG APR 2.'5 701
t3oo VIRd AV*ENU' E* Permitting Department
FOAT j?rERCE, FL 34982r5652 St. Lucie County
772-46%---1553
describ�d property-IN-�Ccc'- Q-O,\
26, Tjown-ahip 36s'&. Range 40E
�y for a Final Development pennit, In accepting
r * �V I acknowledge that as owner'of
lance , with. Section 7.04.01(D), St. tucie Codnty
sible for assuring adepaite drainage go that the
Versely affebted. I f�rtber acknowledge that in
bis -property, St. Lucie.Cou.ntyis neith.er o'bliged
forin, adequiate: drainage off raY pripperty wh ich
tdiunity.
Owner Sig.di-ture - Date
3
!NA:L;E,y KN6*N -�ome OR WVtO --1qAS P90OUCC-0
—D 6- oeo-j-H V A-JIV 64 �,C( A)
TYPE OR PPJNT NAME OF NOTARY
-commssiou NUMBEP,
DOROTHYANN BASKIN
My cOMMISSION # GG 030145
EXPIRES: October 2.2020
Bwdad Thru NotarY Public Underwriters
(SEAL)