HomeMy WebLinkAboutFilled Lands Affidavit From: -� 0612°1'917 11 :51 #109 P.001
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'9T.LUCRE•COUNTY
I M.,G&ZONING
2300 VIRGMI AVENM
FORT MI RCE,M-349824M
*2-462-Id53
i ANDS AFMAV IT-
itia'tuadersip:t am.the-owner-oFf tie.fb)IoWin:des+oribed.T
s ; yea
(Ta 15&099*=ipdwaddiew)
-for whichihoe.applied to k Lucie County for Find DevelopmWt SrmiL.In a=pting
thisFioalDevelopmeut:Pennit;BPl umher 17�,v- y3 selmouvledge:that.aSttW=of
the alive lesc l�ed.i#rogerty:'anc•in acccmdance wilt#'Se ou' .Q9.QI(D).St:
Lucie County
Land J velop=at C00%I shall be. ansible:for assttcnag'adequate rai age sa_that.the
imwaate.community:' :NOT be advemdy a€fected: I;ft Aer nowledge thatin
grang'tlns Penaut't for the davelapput
of 'Ly l4ueis County�s Wither obli
norhable top dor,or mM.tMn I MY.forma ade9nate drainage off myP�peY'W�
willnot adversely affect the:immediate o mmu ity.
.Property,QwnerKame ftMertypvi W Signature Date
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