HomeMy WebLinkAboutFilled Lands AffidavitST. LIUCti' d)UNTY _
BUM .." Z0?6N4 ECEIVED
230G V1RQ69A AVENUE'
FORT PtRO-; FL 34582-5652 MAR COZO
772-4�2-1553
Lucre County, Permitting
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I, the undersigned; am the owner of the following described property:
,, , 41. .,,... , ,. _ _ I , _ .
(Tex M/Ul al
chip A4 .Range 39E,
N&W of'Turnpike Feede
for which I have applied to St. Lucie County for a Final Development Permit. In accepting
this Final Development Permit, BP'Nunliber , I acknowledge that as owner of
t 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
r immediate community WILL NOT be adversely affected. I farther -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, aderiilate- drainage off my property which
Will not adversely affect the immediate community. .
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Propetty Owner Name Property Owner Signature. 'Date
STATE OF FLOPMA, COUNTY OF" Ste_ Tnic i'co '
7 ��yV11
ACKNOWLEDOEO BEFORE ME TWS�_ DA.YOF MA-,PC/1 20I.2aj
WHO IS FaRSONALLY, XNOWN TO ME -OR WHO HAS PRCOUCEO
r AS IDENTFICATION.
1
/o�'o r�•l y j�i,,,,� /7ASKir�
SRINATURE OF r9TARY1 TYPE OR PRINT NAME OF NOTARY
�NOTAILYPUBL[C TITLE
�DOROTHYANN IAIIIN
MYCOMMISSION#GG 030145
EXPIRES; October 2, 2020
.. 4f" BonaM Thru Notary Public UnderNdters