HomeMy WebLinkAboutFilled Land AffidavitT.
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k'349824652
77Z 1... 1553-
1, the undersigned, am the.ow.nerof the following describc'dproperty:':�2
Part of 3414-501--l-70
to Zt-1.0 36ki. Ran
-0 /9- 66 �h 26
0
for Whieb I have applied to. St. Lucie County for a Final Development Per=
this Ahal Developmeit.permit, BP Number acknowledge In accepi �qg
the above described Pr*r4% and in ac wledge that as.ownej, of
accordance WitkSection 7.04.01 (D)*� St. tucie Cod ity
Land Development Cdde, I Oba-1-1 be tesponsibl-e for assuring adeqakte drainage to that lie
immediate c I anity V-M-L. I
omm 46 i' ad-Versely affected. I fuC&er
*Cknowledge ;hot ingrantingg this
P .1100161� to �xo-'V.t4e-ga PPer-ty, St. Lucie C OUnty-is neither-oblig ad
Will not adversely c, 90=intaizi in dAY &deqx-mW*drajnage 0#.m-y px6p�rty *hicrI h
ely affect the i��dkia .
Hatth-&V -*Vhne
Property Owner Name SopertY, Owner Sig,dature D'ate
STATS OF FLOPWA. -COU
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DAYOF 71"�1 C. 202—IP
,ey H . attbeyjL—V—Iie arn-ne
ORWROWASPNODUCC-0
8 WrWTVICATION.
AW.'U 46A&x 1 ^5
0014ATd' O'FqOTjXtY Typt OR im"T NA101i OF U07AY
JT .—T comer—
1111"W", DOROTHY ANN BASKIN
-My COMMISSION # GG 0301
%
' 3EXPIRES: Oct0ber2,2020
Bonded
That Notary Public lrle!
40B