HomeMy WebLinkAboutFilled Lands AffidavitSTI'LUCIE COUNTY
BUILDING & ZONING
2300 VIRGINIA AVENUE
FORT PIERCE; FL 34982-5652
772-462-1553
RECEIVED
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I, the undersigned, am the owner of the following described property:
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(Tax ID/Legal description/Addmss) 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.
Property'Owner Name
Property Owner Signature
Date
STATE OF FLORIDA, COUNTY OF S t _ Lll
ACKNOWLEDGEDBEFOREMETIUS 1;t7tDAY OF Z
BY —Matthew T&1 a L —Y-D WHOIS PBRS ALLY KNOWN TOME OR WHO HAS PRODUCED
AS IDENTIFICATION.
NOTARY PUBLIC TITLE
`.1.O�2.diH Y AILJ N
TYPE OR PRINT NAME OF NOTARY
(SEAL)
COMMISSION NUMBER
DOROTHY ANN BASKIN
MY COMMISSION # GG 030145
.� EXPIRES'. October 2,2020
's„«o Ronem Thor Notary Public undermters