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HomeMy WebLinkAboutFILLED LAND AFFIDAVITx the Part AVWM '• 'FO1tT�1'tFRCL','Fi 9�982.5�52 • 77Z•46t2-1553 am die.ovuner bf the following described property: rnio tt a 4OF for which 1 have applied to. St. Lude County for a Final " * ' this Taal Aedelopment.perrnit, BP Number Pit I'M=t. Zin accep n€ the above desc h' d i I aclalow�ledl a that as own:'ol Land Aevel PrOP Y. and accordance witkSecdon 7.04.01(D), St iucie CodaIt iinraediate eaCdde, I shalt be responsible for assuring adequate drainage so that e �' "Ik1L" 1 ' be adversely afil:cted. X fprther acknowledge !hag in n a to peYmitforthetieveloptiiellfioffts-prope1Cy,3ELncieC.Ounly'isneithm,erobli Aed proviQe'fox,or•t aotainis�nyforra,adequate:drainageOiF=Ypeo'peahi h ail not adversely affect tke i et 8ie conuhirkly. Matthew We Wy-rine Property Owner Name proPeriy Owne'r.Si gdatnre Date STATAOFFWRA DA,'COUM T6FA . Lurie ACRNOWXMaM O}Myftt= I9 l'l- UAY OF �U nfE 20.Ll BYhiatt'P9Q.W Lu'le Wtnlrt� PJHQISPBRSONAL%YKNOXt�I3TOM£O$MOWASPRODFUCto Ib$IVTlF[C`A7ION. SYWATOi OFNOTA&Y TYPEO1tPR1NTNATu1�OPNOTARY NtYPARYPtl13tTC TITIE' MY (SEAL) DOROTHYANN BASKIN