HomeMy WebLinkAboutFilled Land AffidavitSTO, LUC]% -COIQNTy.
BULL DN' iG-. & Z.ONING-
RECEUVE—i_
23 00. MIROMMA AVMJ.' FORT MERCY,, M 34982-5,52
55
772-462-1553 0 CT 2 1 2'0 2 0
LUCIL- County, Permitting
Fit
co's C'
1, the undersigned, am the owner of the following described property: �� c�
# a 1 - n-n n / n .' a / .7 -J A
(Tax ]D/L&9a'dP'scriPti0111Addr1-ss) northeasterly of 1-95
for which 1 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 7.04*.01(D), St. Lucie County
Land Development Code, I shall be responsible for assuring adequate drainage so that the
immediate- community NOT . be adversely affected. I further acknowledge that in
granting this permit for the
nor liable to providefor, development Of this Property, St, Lucie County is neither obliged
Or maintain in any form, adequate drainage off my -property which
will not adversely affect the immediate community.
Mat.
Property0wher Name
Property Owner Signature Date
STATE OF FLORIDA, COUNTY OF_ -at'-LUDA -e
ACKNOWLEDGED BEFORE ME THIS DAY OF
BY Matj-himw *T.i,1— rj—jrin p W�Ho IS PERSONALLY KNOWN To M:0P W1:16 HAS PRODUCED
AS IDENTIFICATION.
SIGNATURE OF NOTARY
TYPE OR PRINT NAME OF NOTARY
NOTARY PUBLIC TITLE (SEAL)
ROTHYANN BASVJN
My COMMISSION # HH 045443
V EXPIRES: October 2, 2024 Notary Public Underw6m