HomeMy WebLinkAboutFILLED LAND AFFIDAVIT-ST Lucmcouny
Bull . V6VN Wk'2C.)k-l2NG
230l-VfAAV.Rx-Uj
FORT PIBRCE, AL 34982r5552
772469-1553
Part
for w I,; e.-h T have applied
to. --5t. 4=16 County for a Final Development dt. In accepting
this Rhal DeVelopmei2t.permit, Bp Number Perxrru n
1 acknowledge that as owner*of
the above describ'ed propertn and in accordance with Sectia
Land De.yelopmen n 7.04.01(D) St..tude County
t Cdde, I shall be responsible for assuring adeqaate drainage go that the
immediate c an WT
. Omm itY BUL -N be adversely affected. I further
grailting l3bis permit y rtber acknowledge that in
'for tb - dia
. , . e - ve:10P'40111-i Of ihis#.pperty, St. Lucie Counly-is neith
.nor liable to p!,.ro;v. * -d *.for, or. M*aixftak in any form, adequata . drain ' . off my ' obliged
willno' ad-v &9.e: peoperty *hich
erftlY dffea the' h fe-bbimb-
mmed-la
M 0
pa
-2
SCANNED
BY *
St Lucie County
1, the widersigned, am the owner' Of the following described 'V-- �d property. \ Qp(%K,c\. Z, q\Do,�
of 3414-501'-1701-066/Q=
(Tax
Range 40s
Natth-&W-L-vle 'Wyrine �� ��\�
froperty Owner Name Property Owner Signi-ture Date
.bri e
Acr¢NOWI.EbGeD88i=0REivfE�73PS�a DAi OF 7 -<?C�?D66 t 20-0
isy mat t,h.e.w Myn
j' VMO IPE
-p- S RSPNAILY MO*a
., TO'M6 OR WWO'WAS P90VUCC-0
S WENTMCATION.
SYGNATUU OF NO(JTA.RY TYPE O.P. iRW N4 WE OF NOTNity
(SEAL)
TAKY, co , W', WON NUMBER
DOROTHY ANN BASKIN
li.s. MY COMMISSION # GG 030145
EXPIRES: October 2, 2020
Bonded Thru Notary Public Underviriters