HomeMy WebLinkAboutFilled Land Affidavit • .RECEIVED
$ TP1WGl zedJUL 914 "
"
a _
'FORTPIERE'.FI.3zt9$ZT565Z
.
L s, 772-�66 »3553'° Permitting
ST. Lucie County,
L Cbe undersigned,em the a�xrnex of tae fal3a riz�g described property,:11\
Fart: of 3:414-801-1701-d00�/9; taaiz 26,.' 2aw'"h10- aes ' &• Range 440E
(Tax-33%Le$al desci pdi nJAddxess
:Ear wi icb I'have applied to St Lucie County for a.Funil;Development P-mit In accepting
tWs.-F nal D,evelopment.P..carmit,'BP:Nuunber: ,11 acknowledge tbs,t:as.owheir'vf
the.above descrilied.,pmperty,lad in accordance.with Sec&n 7.04.01(D,),St.lrucie Codaty
Land Development Code,1 sbaU be-tesponsiltle for assuring adeq#te d tamp So Wat the
imr4ediate con?mun ty WI "rbe adversely affecte& x fqt er ackaowlefte that:in
gra tin g tlzaspenaczi ;fox tt a 3evel ,PM
bui-Ofthis property-SE Lucie County'ls-neitber obliged
pox uabl :to provide four;or ia�azntain in auy.foi a,aaegtiate drainage oft�c y-p operty*hieh
wall.clot-adwerse2ya�fect.the iirirtze�ai�ct�inrnuiuty. '
M tth-ev t--le WV-zine
Property Owner Name Praperty Owner Sigziature Date
STATE.OF r-t0=A.'COUNTrb.F S t..
ruble
a
r
ACKNOWY. L1G4ED.8EF07tEivLETHFS DAY OF' 2Q._,
aYMatt-hey LVlie mWrnm� wiS isotSON' LY, N : T0'MSOR,W-'YO:HASpgoouc4D.
AT i.U OE NOTARY T m p +I4Mt OF NOTARY
NC?TyAitY,Pti�� ti�;._TLE - CAlutivtSSt0N1lER
NotaryPubAo Stats of Florida
. Jutie`Nina-W
My Commj won GG038942.
o. Expims 1011612020,