HomeMy WebLinkAboutFILLED LAND AFFIDAVIT$T. LUM:)COUNTy
AMbrs
.F0kT!;;= . R 34982,5652
772-4621553 -
7
R15CE-IVE--D
. APR 2 3?019
, Permitting
ST. Lucie Co
E untv
SCANNED -
BY
Si. Lucie Countv
I,Part the tMderSigued, am the owner Of the following described
of 34 , , property:
ow'rrathilb 36i'&- Range 40E
(Tax ID/Lepai efp.cr'kn� T
—%
for which I have applied to St- Lucie County for a Final Development Fernift. In acce
this MW DeVelopmebt.Parmit, -81? Number pting
I acknowledge
the above described property, and in accordouce• with.S , je that as.ci
Laud DevelOPment Code, Ishall be responsible
for
ectx0n7.04.0l(D),Stl1ucieCodaty
imTqedidte . ' assuring adeqUite dtainage so tht the
corPmanitY.W—ML 'NOT be adversely afft ted. I furaer aftowledge that in
granting
bni Ofthii-'ptoperty, St. Lucie County,is neither 0 iged
Y)Orliablietop,mvi, bl
defor, or any form, adequate: Tnypeoperty
will not adversely affect the*: - VVhich
Immedlaie botaftmity.
Matthe I, Lyle T4Vrine
Property Owner Nam PxOWtYOwner Sigr1ature Date
STATS OF M0aVA.coUpMr6'FAL-L_Ub_je
. Acwow=mDtBEPovw-&mwm 1-7 � DAY OF 4?,q / L— -
20 —)?
synat�t-hev Lyle M ynne WH6 ZS P9kSoNA1tY XNO*d PIROMCCO TO'M8 OR W140
AS =W711 . qCA7MN.
QQ:2��—ayyr, 13ASL DO A 0- -1K P-S jlfr,0
SIGNATURE OF TYPE 0'Rl?kMTNAME ONOTARY
DOROTHYANN BASKIN
myCOMMISSION .#GG030145
EXPIRES: OctobeiZ 2020
Boqded Thor Notary public Underwriters