HomeMy WebLinkAboutFilled Lands AffidavitRECE' ECG
S7C. LUT.0 CO iTY NOV 2 17 1019
23 } ST. Lucie Count , Permitting
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772:462-1353
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the wtdeXs greed,. am the.o�xrner cf the .:0•i0:;, sfeool-1ow:.i,
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Part -of 3414-50described
6h 26 • To .i s:hi M ' &• Range 408
(T,a.2101t. egai descfr p&n/Addiess)
:For which X have applied to. St. Luci6 County for a Rinal development Pextxut• xa acce t�i .
t iffs Final Developineiit,Permit, BP MOW p ng
the above describ' ro 'e acknowledge that as owne �'O:.
p p rin and in accordance witkSecdaa 7.04.01(D); St• tucse Codaty
Land dilte c pxner�t Code,: sbail be tcespansible for assuring adequate draa�iage So tl�t �i�e
a mediate co nunitY VML b� adversely affected. X further ackrtowrtedge E7taL' is
gi<ant�ng Uspeltm t;for the de�reln ixaen
ivor Liable to : of zs.p, operty, St' Lucie Caunty'as netdi :nbii ed prow a fOr, Ox'•al iritaixt ixi riyfoltitx3, ade atjr draindj, o ertypopecey vi►hich w i not adversely a#lec tote i no ec�aina con € ui 'rty.
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property O'x+mer N note PropektY Owrterr S gnatctre Date
STATE OFFLORMA.-COUNTY'QF S.t . ui e
ACt�fVOWl;EDCEDORg•F1iS �. a_DA-COF_ /IIcr/a�rl 20-0
ay, Ma t:.t:'Pi2sa' L a e r4.Vnjm,�ZHQXS Pir1�SONAI;'LY ISNOXUi TOMS OR WF?O WAS PRO0ucdo
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SIGNATCfli�a OF.NO iY 1
TYPEo. eimgTi�tAm> OFNOTA7tY
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'1r?;ot,,• UOROTHY ANN BASKIN
• ? MY COMMISSION # GG 030145
EXPIRES: October 2, 2020
Bonded Ttiru Notary Public Underwriters