HomeMy WebLinkAboutFilled Land AffidavitST. LU ' OUNTY
stm-AING4 zo G
23017 VI•R63*A Ai UE'
FORT Pib=% FL 34982-5552
772-462-1553
the undersigned; am the owner of the following described property: �3 IS XY\ 9
i _'I i i _nnni _nnn_s. Face ? _r, F' a +4 teiwn b- .Ran a 39E
axM/Le descr3 tIO Addreo
tT P ts)lying N&W of znc Turnpike Feede
for which I have applied to St. Lucie County for a Final Development Permit. In accepting
this Final Development Permit, BP Nurliber , 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
I' immediate community W-ML NOT be adversely affected. I huther'acknowledge that in
granting this permit for the development of this property,. St. Lucie County is neither obliged
por liable -to provide for, or maintain in eny form, adequate drainage off my property which
will not adversely affect the immediate community. .
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Property Owner Name Property Owner Signature 'Date
STATEOFFLORWA,COUNTYOF' 9.t—T.rie+i•r=
A`C, KKN,OOWi LSOCE0 BEFOREME THUS oZo O" OF /TPR j e-
WHO IS PERSONALLY'MGWKTO ME OR WHO HAS PRGOU080
AS WENTIF'LCATION.
7J IQ-O-rk IV li ,V ,c/Fi S,eI.J
STONATURE OFNOTARY- TYPE OR Pxo-k NAME OF NOTARY
NOTARY 9MLIC TlrLE feE9U
�'1 : ""•. OOROTHY ANN'ASKIN
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MY COMMISSION # GC
030145
's,;p,<`: EXPIRES: October 2, 2020
"P?„tk°•'• Bonded ThN Notary PuNk Un4erwiilere
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