HomeMy WebLinkAboutFILLED LANDS AFFIDAVIT. SCANNED
ST. .0 -WCOUNTY
C1
2; NZ
DOM 23 RdMi-A
FORT PMRCE, AL 349M5552
772?-46.9-1553 -
Nmuml .-Was
1, (be Waderaigned, am the owner of the following described property: CDC v
Part of 3414-501-1701-0.01619; 86*Ct-,i0.;h
36S. &- Range 40E
for whicb I have applied to St. Lucid County for a Final Development Peru: 't, In accepting
this Fihal DeVelqpmejt.Pem)ft, BP Nuinber u
the above describ* —V I acknowledge that as. ownefof
described property� and in accordance with Sectia
Land Development Coda, n 7.04.01(D)i St-tume Codaty
,inme , I shall b . e responsible for assuring adequate dtainage to that the
I diae c
L be adversely affected. I fyrther acknowledge Oat in
gran
041mu-nity A M
V�lopxooni of
thispet m-fox-,for the Ad.-b W
nor liable to prov. ' �-Ptqperty, St.Lucie C. ountyis neilbee-obliged
de' -for, or-inain-tain' in 4--uy. form, tdeq�atlr*0.
will not as affect tb' drainage e-m-ypeoperty'which
mediate' cbinhijility. e immeifia,
Property Owner Name
Property Owner Signature Date
STATS OF MomA. -couNTY. FAt---r- _Ub_i e.
ACKM0WX.EIDG,'6D Mfopr— US THrS or
DAi 20-0
iqyMatt,he.v LVjjq Myn
TO ORWROWASPROOUCC-0
AS m)sNrrrcATjoN.
SIGNATURE OF NO py
TYPE Olt jPjNT NAMt OF MOTNity
SOTAWYTIJ. COMMYSSIOU-NU mmy ANN BASKIN
SION # GG 030146
C MY
Omm's
EXPIRES: October 2, 2020
Bonded Thru Notary Public Underwrfters