HomeMy WebLinkAboutFilled Land AffidavitI
•�•�TCOUNT
g'p�. I,UCI.E Y'
23Q0' �?lRGTl�TJA AVEMR—
FORT PTERC34 ir Fi 982-S6S2
772-22-1553
I, the undersigned; am the owner of the following described property:
#1301 _111 _nnnl _nnn_s-��c0„ t0&g13G1„ was .Range 39E,
(Tax iD/E4k description /Address)lying N&W of *Turnpike Feeds
for which I have applied to St. Lucie County for a Final Development Permit. In accepting
this Final Development Permit, BP Number , I acknowledge that as owner of
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 W-M." L NOT be adversely affected. I further -acknowledge that in
granting this permit for the development of this property,. St. Lucie County is neitherobliged
nor liable to provide'for, or maintain ri any form, adequate drainage off •my property which
will not adversely affect the ini t ediate community.
Property Owner .Name
Property Owner Signature 'Date
STATE Or FLOMA, COUNTY OF' . t _ Ta; r i -cam
ACKNOWLEDGEDSEPOREMETHIS e9I DAY OF �� V ,2poiQj
WHO FS PBRSONALLY•KNOWNTO MEOR WHO HAS PROOUM0
As IDaNT1FtCATION.
`�`' r'i'' • �fl IQ o'�t /`f'/ IAJ 6,4 S Kc rJ
SIGNATURE OF 9TARY. TYPE OR FMM' NAME OF NOTARY
iYOT/k•RY PUBLIC _TITLE �NN SIGN BASKIN W
MY COMMISSION # GG 030145
EXPIRES: October 2, 2020
%.F?c 8+.g:•• Bonded Thru Notary PubliC Underw iterS
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