HomeMy WebLinkAboutFilled Land Affidavit�S f'. Lpei•J�'CIM' ' CrO'[UN�'jY��"'�Y�t
'JCb6.79,JJII9I -.0 SIG U9J3^1 ING
2300 VIR6 Amt3�- —�
FORT PIERCE; FL 3498 5652
772-42-1553
MAY 13 :'OZO
I, the undersigned; am the owner of the following described property;
#13n1-111 _nAn7 _r1Al1_Sa Fact n.p gontinn 1 tn�+nahi -3 S ,Range 39E,
(TaxM/LesaIdescnptioMAddre s)Iying N&W of Turnpike Fee&
for which I have applied to St. Lucie County for a Final Development Permit. In accepting
this Final Development Permit, BP Nuttiber , I acknowledge that as owner of
!I the above described property, and in accordance with Section 1.04.01(D), St. Lucie County
Land Development Code, I shall be responsible for assuring adequate drainage so that the
immediate community Wt L NOT be adversely affected. I Rutherr-acknowledge that in
granting this permit for the development of this propeity;-- St. Lucie County is neither obliged
nor liable -to provide for; or maintain in any form, adequate drainage off-,y p. toperty which
will not adversely affect the imrriei iate community. .
Matthew TXlea Te4annc
Property Owner.Na-me
Property Owner Signature Date
STATE OFFLORIDA, COUNTYOF'St- T,I!;+J-p
ACKNOWLEDOHDBEFOREMETmsDAYOF 1mi4=H ,20_g2p
BY*" WHO ISPERSONALLY 'MOWN TOM$'ORWHO HAS PRODUCED
AS IDENTIFICATION. '
1lor UTHV AVW ASK[ J
SJONATURE OF NOTARY TYPE OR PRiN'r NAME OF NOTARY
'. NOTARY PUBLIC TITLE
QOMMMMON NUMBER I9EALJ
` •�"1o,'y ,.• DOROTHY ANN BASKIN
q; MY COMMISSION#GG 030145
t <€ EXPIRES:October2,2020
•�; ;u?•' Seeped That Nolery Publk Urd0fWArs