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HomeMy WebLinkAboutFilled Land Affidavit1. the Utdersttgaed, am ihe-dw.Aaf of the I Part -of M—T�L �A; Is. 2301.'tGlNA AI XiJ do-cribed.properly: Ran for which I have applied to. St. Lucie; Cooney for a Final Dew-lopmeat per,=-t I. W-S Ahalbevejo accepting the above Pmebt.Permit, D-P Nui-aber ackmowledie fat as. owifte, d6sclibe.4 PrO&rtn and in ac6or.dance �Vith S * 'Or 80ibn 7.04.01(D).' Land De.ve10FUe*Qt Ccide, 108-1-1 be.tmapolisibl-e f"St. .Lucie Cod�te ty 96a -ai.ty for, asst'&& adeqa#e, dtainage S be ad rers y affected.jfb 0 tmt smilOg ft8,P6km!-t-, 'Ve "Opme er 40k nowlefte that in gj per-ty, Wie .39or 1161-a to p . SELVciec-ou .xdv.A ...for, p-Wisned i-v�lfjpd Adsquolw*drainage•off -mypx6prj*h h -T ' W-111 noi advir�gy dgec, the iin 1; le-Vwine Prope.4 owner Name Date STATEOFFORmA.-COUNT y '161F A t �" �Utri DAiOF- 28J2.g BY matt*he-y- -s OR W140*WAS PICO -0 AS DIJCL rb)sNTj*c:A-nojj. A50`0 go-m y 4,j eLsie4 Typt Oil 4mi OPHO-TAY L,�WT1 S -A C Q DOROTHYANN BASKIN M My COMMISSION # HH 04W3 2 0 EXPIRES; O*Wr 2,2E]4�- V" Bonded Notafy Puwvn&mbm 408