HomeMy WebLinkAboutFILLED LANDS AFFIDAVIT - 11 LOS GATOS1, the llazm�ped; am the ownee bf t ' wing descri,
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Part of dhe fono
I bfe applied to.St Lucie County for
this FI�181 Developmailt.perail't, R? _?qunb,r
I above de8oxibed proper4n and in accordance,
Land Development Cdde, I shall be ZzZ—resp
onsibip"m4edldtec6nantV&&L _NOT b -ad"rael graftting thijpaeznirf6r �Oj
)pox liable to j..Co;.V. ._. . . . I .. Bi.eith -�.
1'00.rof, or-iraittainin any f6hm
will not adversely affec, ,
ins! Development pm.,Mt, In accep
�:, I acknowledge that as. owne
Oaction 7.04.01(D), St..tucie Cot
assuring adequate
Me . . drainage so that
further tekaowledge the
TTY.; 31. Lucie Count yl .
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Property Owner Name
Propevyowner sigliiture Date
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OR W140 WAS PIMOUM
SYGNATUIPE OF moTA:py
TYPE 6A
(SEAL)
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EXPIRES:Octob,,2,2o24
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