HomeMy WebLinkAboutFilled Land AffidavitSTU Lua% couNT. Y.
WILDROG.-&-ZONING
2300.VMGMU AVENUE
1'()RT PIERCE; M 34982-5652
772-462_15s3
, 1, the undersigned, am the owner Of the following described property: \-� 9s CS q\
#1306-111 _Ann-t _' -,P- - . - -
.................. ....................... ......... L-4436.6-Ak ..........
(Tax Myff.ega A-----. _77. —
de"1iPti0nfAd40s$) northeasterly of 1-95
for which 1 have applied to St. Lucie County for a Final Development Permit.
this Final Development permit In accepting
, 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
immediate. community drainage so that the
. ity WILL be adversely affected. I further acimowledge that in
granting this pefmit for the deve'OFment Of this property, St, Lucie County is neither obliged
nor "able to PrOvidef0r, or maintain inany form, adequate drainage off my property which
Will not adversely affect the immediate community.
Mat T.is7 0 ;�r�fnr���`\�1\
PrOperty'Owfter 'Name
PrPP64Y -Owner Signature Date
STATE OFFLOPMA, COUNTY OF—at.—M—nCia
ACMOWLWGEDBEF0RBMETMaLjDAY0P
BY
1np_WH0 ISPERSONALLYKNOWN'TO ME'OR WH6 HAS PRODUCED
AS IDENTIFICATION.
SIONATURB OF NOTARY
TYPE OR PRINT NAME OF NOTARY
NOTARY PUBLIC . TIME COMMISSION NUMBER (SEAL)
OROTHY ANN BASKIN
My COMMISSION# GG 030145
mEXPIRES: Octder2i 2020
onded Thru Notary Public underwriters
upm-on 11