HomeMy WebLinkAbout0710-0338 SPECIAL NOTICESGANNE
SPECIAL NOTICE ey .
St. Ludg Cau*
(PLEASE READ BEFORE SIGNING ACKNOWLEDGMENTS BELOW)
bmission o this application does not constitute the granting of site plan approval. All appropriate requirements must be met prior
this proje being presented for approval to the appropriate authority. St. Lucie County reserves the. right to request additional
brmation t , ensure a complete review of this project.
t Inf matron (Property Developer)
13 CK STEEL � C-
610 L- 0Nea 1EC14901-ow C'
nl► CeL- r-L. 33073 v
Fax:
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Agent Information
Name: %A AIW1N -1- M C/' ,_E C.0^15T.
Address: 23-73 S. 1►v • th AVE.
OKeEc�oaEE:, rL • 3LI9-74,
Phone:8163 -6314 i49OFax: 843-7t3' 4784
Property Ow ' er Information
This applicati n will not be considered complete without the notarized signature of all property owners of record, which shall serve as an
acknowledgm t of the submission of this application for site plan approval. The property owner's signature below shall also serve as authorization
for the above plicant or agent to act on behalf of said property owner.
69'9I0A S U RN5 FD
Property Ow er Signatur Property Owner Name (Please Print)
Mailing Add s: 170 86yr-) 'Ko14D I?0 BOY D -ROAD
Phone:
STATE OF %0J4D
F COUNTY O " �4-
The foregoin instrument was acknowledged before me th�
day of V 20- by � cA
who is perso tally known to me or who has produced,1C.
SUMMER HERNANDEZ
MY COMMISSION 9 DD 522355
Title
Number
(Seal)
OFFICE USE ONLY
Project Reviewer:
DRC Review:
Approval Date:
Comments:
Revised Ahri124, 2007