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HomeMy WebLinkAboutFilled Land Affidavit • ��:: .�._-�,��..�:s:�,sue;:::., �7t'.�: �' ,:'�€)�'��t' .
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1, the uadersigrned,am the.owneiec£the foliowing described property:
Part of 3414-501--'=-17G-J- Qa6x,l B - $ on 2rat' Ran isz e 40E
Iega /l ctesellpiddAddress)for which l have applied to St.,Lucile County for a Final Deui1opment Perr it. Zn acce t�ng .
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this Rhal Developmetlt.Penw,DP Number ;I acAnowledge that as•ovauof
the ab©ve described property,and in accordance with•Secti n 7.04.01(D),St.tucie County
Land Development Code,.I si7iall be fesponsible for assuring adequate dcaa>Inge so Mat �i�e
z'n mediate ccxknurtxty't L.1.6-T.be ad e�cse r afected. I farther 4clC�a Wleaige ghat in
gxa i g t sperm�t,fcrti�a.d�vetoprtibn-1 efi i i-'property,St.LucieCounty'is ne t[ier•obli d
rsOx tiab to pxov d far,,or iz�a Arai i in arty ft3rxn,adequate:drainage•off-my property which
wilt rot'adversely a;ff�c1.due i�;cie'dlaie•bafn
—77
Property Owner N=e Property Owner.Signature Date,
STATE OF Frf ORmA,COWNTY'GF'St. 1mki e
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acrct�owR.eocEne oRlrz rs as aA OF Oc-rn��n tv.2�
Sy Maw w' a .ftnim VMb4S LAsorrA Cy o�vi��To s.o v�:�to HAs nezoovc
. AS 0$NTMCA-50N.
s�cNa v o ..oraax TYPE OR 9Rt1`iTAme OFiloTivay
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ra t;�tc rt, CO $s aN:9uMJ1F9z
DOROTHYANNBASKIN
;* P y COMMISSION#HH 045M ,
y ova EXPIRES:October2.2024
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PubliC
llndetwtlters
.FOF�?., Bonded TtwNotary