HomeMy WebLinkAboutFilled Land Affidavit• nx%xi::eP.9•tx".L-3b::,..,:::c4 �:1;.•;t' T. •�, ■�+e•�/1B •�y. '
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1, the uftdenstned, am itie.avvne.of Me followin Part Of 3414--50 '= g describedproperty: �56 (n6
I701- Qpap Se.cfic� 26 Tc :ris:hi 36s ' &. Ran a 40E
(Ta�c3li:'sga! descpori/ddiess)
:Far whieb I have applied to: St., Lucie County for a. Findl Deviloptaex�t Pertx�i t, �a acc .
WS Ph2al Developmebt.Pe�uit, $p Nuiaber ep g
the above descxibed roe ; X a0nowledge that as ow c�e Of
A P may, and in accordance wxtkS8cd0,Q 7.04.01(p); Str.tucie Codaty
iaad Developxr ent Code,. sSaall be iresponsible for assu;ug adequate draa»Ia .e so that �i�e
i +mediate cb mcuity+ N ?'T he adversely a�'fected. 1 farther Acknow to a that in
gxanng this pemt;Fc r e cteveloplod t of �izs xo art. St. Lucie � z�ox liab to pxaWde•foz, Or i ai taiai in ' p: A Y. County'is n tt�ec:dbli ed
will nod a versel .. xyfoi , adeclirat1:draiagw*.meyp'eoperey whi p
y a eci the ztd�lec�ate' co�r�ii tY,
lea � ew L T1e' Vy-rine
1?roperty Owner Mrne Property Owner Sig wore Data
STATP.O>: FIrORMA. COui!Mi -bUl.t . Lucii e
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STGNA3'Ciii�E OF.N Al2Y TYPE 6 i m..2'tTimi opmoTA Y
Nb�'AIZ;if313i:YC TITLE. (SCAT;)
corsstoH: Nu*DOR�a
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MY CC MMI�SSIO # HH 0045443
E)(PIRES: October 2r 2024.
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