HomeMy WebLinkAboutFilled Lands AffidavitST: ]LUCW COUNTY
BUILDING & ZONING
2300 VIRGRgIA AVENUE
FORT PIERCE; FL 34982 5652
772462-1553•
RECEIVED
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I, the undersigned, am the owner of the following described property:
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description/Address) northeasterly of I-95
for which I have applied to St. Lucie County for a Final Development Permit. In accepting
this Final Development Permit, BP Number ' , I acknowledge that as owner of
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 further acknowledge that in
granting this permit for the development of this property, St, 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,
Matthew T. -le w3znna
Property Owner Name
Property Owner Signature Date
STATE OF FLORIDA, COUNTY OF B t _ L�
ACKNOWLEDGED BEFORE ME TM 7 DAY OF 2Oj2::o
BY Mat h x T-j.r1P t*jnnL-wHOISFERSONALLY KNOWN TOMB OR WHO HAS PRODUCED
AS IDENTIFICATION.
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SIGNATURE OF N ARY
NOTARY PUBLIC ' TITLE
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TYPE OR PRINT NAME OF NOTARY
COMMISSION NUMBER (SEAL)
DOROTHYANN BASKIN
x MY COMMISSION R OG 030145
2a£ EXPIRES: October 2, 2020
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Bonded ]fim Notary Public Undervrtiters