HomeMy WebLinkAboutFILLED LAND AFFIDAVIT-$T. L-UCm',M'CO
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•FORT", 33982,S652
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St
4 the U'-'d""gaed, am the.ownet bf the following described Part of 34property:
].4-501'=—T?M .Anxiin_
Ranl
(T;axID/L:'egat desoiptcn/Addiess)
l a 'COR7FZ
for whicb i have applied to. St. Lucie County for a Rinal Aevelopment Permit, in accep
this Pival Development.permit, BP Nun tber
the above descn"bed property, and in accordance with Secei� A�p Ul edge tbaC as,owne
Land Development Code, T sball be tesponsible for ass ��' St i:ucie Co!
iimraedi�te community '�'L� 1�€f'k` bs Drmg adequate dt •Wage So that
—.—r._._ .. ad'versely a£fecteci. T furUYer ac nowiedge tiia
�a�'rbispermitforme�velopriiear:oftlas�p#oPertY,StLucieCoun 'isneitGergbli;
nor lialile to provifle"far, or•tnaintaui in any fotrzi, actegtaaFz ctraiaage o Ff Y P�opecry �Nh
wilt ncc adaer6ely a�'fect t11e iairAe�te'coiatiity, .
Matthew Lyl tiMine
Property Owner Name
Pliopettiowne'rSioature Date
Sr'ATZOFFLORKDA.000NTrbF_U- &et'ie
ACRNOWLeDGM.DjWORRtft"M / DAY OF y 5 zQL, e
BY Matt'I'12.w LV].2 M.yrbpm t OISPBRSONAL�tiYiRi I forma0ItW, 9O, iASPRDDUCtD
,,. S OLM11'1CA710N.
+�a4.. _lJoRo'iIGY fy-N:y /J9-SKir�
STGNAEdRR OFNOTARY TYPE Olt pRWTNANta OPMOTARY
.N'OT UIRI 112 • TITLE (SeAW
d� ! "•. DOROTHYANN BASKIN
AQ! MY60MMISSION#GG030145
-7j-7j' EXPIRES: Octaber2,2020
%.`,?eft$•'• Bonded Thru Notary Public UMemllen
BY
Ie County
in
40B
, IIulIdtzlg 8i Code Regulations isio.n
� tY `yak Cs
r j a� } FO$T PIE 72j"462-15B 5552
FILLED LAND AFFIDAVIT
�CANfVE®
St. LucieCov*
I;:,tlze,nndexsigned, am -the owner ofthe lifollow a-describedproperty,
fo which_ I" have apphed:to- St. Lucie County for a Final'°De--k meet Permit_ I
accepting this Final.Dev_elopmerit Permit, BP Number 0,�0 a_... I.aelenowledge
that `aS 'owner, of f ie' `move described property,* and in. accbrdance -,with Section
7_ 04.0.1(D), St Lucie Counfy;Land Development,Code,
adequate. drMnage".SO that the lmi mediate community
I further acknowledge that Ir1 grantmgsthis permit. for
St. Lucie County is, neither obliged nor ,liable to;;proyi
adequate drainage off my property which Will not,
coInmu uty;
Date
STATE70FFLORIDA, COUNTI'OF' 1 y \ {
I shall -be responslbleyfor assuring
WILL NOT be adversely affected.
he development, of`this property,
de for, or maintain_ in .any form,
adversely affect the immediate
ME THIS DAY OF l 20
IRL
L _WHO, IS _PERSONALLY KNOWN TO ME 0 'OR -WHO HAS!
TURF OF.NOTARY P LIC TYPE ORPRINTNOTARY
NUMBER
(SEAL) - '
SLCPDSD Revised 04111/2011.
MW OFFIX&
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