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Filled Land Affidavit
Sep 2215 06:28a Mark Lashley Inc 7722321235 p.1 • Pw ( Wy.,.�...tpMW�MVM•--'.'.,'...'�'i DEPARTMENT - SUII.DII►liG&C©DE-REGULATIONS DIMION Z90011I1i sl�t�AA�t�ILiE . . IaDRT PM=t` -Fi.3+S�$2 SG52 LANTP FMA f L the undersiped,amthe owner oftbe&Jlot+ving 3zlq b r�arripti,oauiAd�re ) ' - 501 39- L( r• 000 for vahich I have applied to St Lucid Coaoa[p for- a Final 3]evet Pit Irf ac mPtug this Final Developplim Fes, BP Number _ Y acI�wledge that as Qtr of the above desc�nbed'PMCrt aid aa;ardaace with Sec6ion 7A4.01i[�),S`L iucie Com#y��e2oiimert Codes I�ll be respQnsble fol ass�g adeqaa#r drainage sty t�the mm afe commwuiiy WILL NST be adverwl,af>icted. iurtber acknowledge g.thisibr the development offs Properly, St. Lucie COUlaty is not r obli god nor liable 10 provide for, or maiAain in any form, . adequate damage. off my Property which VI mt-advemely-affect the immediate . toy_ ..F....-..._. �LOTFe y o, J Prep 7�Nme[Ppriat� �._._.... ,.` . ' owneasi�at� �� � • STATEOFJ%gRH A,C.OUKrYOF arowtmc�ao �s 2- BYLI, r °�-� � t��� oFsrezvrsxawrrTr) o�twxoxns rRonuc C_:c,ec, Se m, rCATM SI4NATOgEOFNQTARYPiIBLiC TMOR�li�NfN X • ca>�ss�oxtt ' . {sem) Anthony Rossi Notary Public of Michigan SLUMP Rzy1 ed4tMretie, Genesee County = Expires 07126/2040 Acting In the County of NLkkd