HomeMy WebLinkAboutFilled Land AffidavitSIC, LUCIZ COUNTY.
BU1LDjNig.-&-Z0N]WG
2300..VIR&�.0 AVENUE
PORT PIERCE; FL 34992-5652
772-462_is53
1, the undersigned, am the owner Of the following described property. Z_"1
#1 3A6-11 i -nnni in _' #_ - .
(TaxID/Legal
do"600nlAddiess) northeasterly of 1-95
for which I have applied to St. Lucie County for a Final Development Pem3it. 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 be adversely affect6 . I further acimowledge that in
WML-N T d
granting this permit for the development_iof. this property, . St, Lucie
e County is neither obliged
nor liable to Providefor, or maintain in. any form, adequate drainage off my -property which
will not adversely affect the immediate cor-bbiunity.
Mat
PrOPerVOwiler Name
Property -Owner Signature Date
STATE OF FLORWAcoUWY OF—At'MU01 e
ACKNOWLEDGED BEFORE M THIS DA•Y or;
BY
ring wHo KI2D1YI1=)Affi'OR WHO HAS PROI)UCED
AS IDENTHWATION.
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SIGNATURE OF NOTARY
TYI?B OR ]PRINT NAME OF NOTARY
NOTARY PUBLIC TITLE (SEAL)
CO S
DOROTHY ANN BASKINJ 0 0
MY COMMISSION # GG 030145 0 0
EXPIRES: October 2, 2020 "'Ite
As Bonded Thru Notary Publie Underwriters