HomeMy WebLinkAboutFilled Land AffidavitRECEIVED
FE8,21 1010
A�Y Permitting Department
ST. L ICI COMP St. Lucie Cn(,,t •
- - - BUM NO & ZONING
2340 V1RQTV;MA AVENUE
I @ FORT PtRCE; Fri 34582-5652
4 772482-1553
WILL IA" A1W!0VM
I, the undersigned; am the owner of the following described propertya v
#1301-117-(IA07-Mn 5�H'a�t n•F' Gen'.}inn 1 knrmchi�n9 .Range 39E,
(TaxID/Fegaidescdpaoniaddress)lying N&W of Turnpike Feede
for which I have applied W St. Lucie County for a Final Development Permit. In accepting
this Final Development Permit, BP Number @0 02-M, I acknowledge that as owner of
;I the above described property, and in accordance with Section 7.04.01(D), St. Lucie County
Land Development Code, I Shall be responsible for assuring adequate drainage so that the
immediate community WILL NOT be adversely affected. I £tuther acknowledge that in
granting this permit for the development of this property rSt. Lucie County is neither obliged
nor liable to provide for; or maintain in any form, adequate drainage off my property which
will not adversely affect the immediate community. .
Ma'Fthpw r.ylp X-grna
Property Owner Name
Property Owner Signature 'Date
STATE OF FLORIDA, COUNTY OF_C T.Itni'p
ACRNOwE20OS0ssFOREMETFus P? DAyoF ,201-P
BV ti.B�� OiB�ea i4lkO, WHO 15 PERSONALLY MOWNTO ME OR WHO HAS PRCOUCED
AS IDENTIFICATION.
I
SjOINATURE OF NOTARY-
. ,NOTARY PUBLIC TrrLE
,eDT►yN w ASK(e
TYPE OR PRINT NAME OF NOTARY
(SEAL)
COMMISSION NUMEER
¢mrrwry
,•dam=`y;,.. DOROTHYANN BASKIN
MY COMMISSION # GG 030145
t,
rot EXPIRES: October 2, 2020
'.Q�' Bonded TNtiotaryNblic Undervmteis