HomeMy WebLinkAboutFilled Land Affidavit � D Ai ZOMIN�
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1, tbas wadexsrppd,am the.owaeedf die following describ4d prope4y:
Part Of $e:c. :art 26 ' Towrtsnin 3 • s ' &• Ran a 40E
' (Taz�B�:egai deschpEiori/1�addcess)
for wb iob 1 have applied to St.'Lucie County for a final Development Pexmit. Za accep�ing
this ibaz Deve3opment.Perrnit,B?Nubaber ac. .owledge that as.owne�o:�
the above described property,and in accordance with.•Seadan 7.04.01(D1.,St.Lucie Cod ity
Laud Developx wnt Cdd%.l shall be kespansible for assoriug adegakte drainage so CYiat ke
immediate cc a ty't�l L.--N .T be at%rersely affected. 1 further Aclta'aw'Zetlgs that in
gran rig t�iaspexm t for he developx en of f s-ptoperty,St.Lucie Countyis naidier'tibli d
..11or liable to g0469 fez,orii?tain'taii in arty. fo�z,ade��ate draa�agE o�r+xy prop which
wili not adversely affeci d1e z »aecae'caiibacty.
Hat:th•ey Dv e- .&riue
Proyerty Owner Name Propezty Owner.Signi-tore Date
STATSOFFLOWA.'COUNT�!"QF'S.t. lyuc'z e
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ACTWOMS00.60 BE*0X'eWft-TW8 I a-t4- �7aX OF M J•CC44 20-a
By Ha •;,L'w L9 a .l tt I FJO'1S AiSQUA LY k4O W�7'�3► 8 0 I�i+E O't t�1S t'ROOtlC13q
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910b Aill� g Orry TA12Y TX4E Ott FR#NT PFAIA'S OF•MOTMY
TITLE corssorr:r�ume�R
DOROTHYANN BASKIN
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W COMMISSION#Hi 045443 .
EXPIRES:October 2,2024
• •o;;op F;°Q' Bonded Thru Notary Public Undeswdtels