HomeMy WebLinkAboutFilled Lands Affidavit•tig �8 a LU.CI E 'l�OU 1A
B V ffiP0gq & ZONING
2300 VIRCTNTA A WM—
FORT PtRCE; FL 34982-5652
772=462-1553
1, the undersigned; am the owner of the following described property: �-e�, cj� Vz,
#1301 -1 11 _0001 _0011_S- East gh of-stan'Fi nn -1 tnwnShL]3 -3A.S .Range
(Tax ID/iregat descdpdon%Ad&e$s)lying N&W of ' Turnpike
j: 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
I� Land Development Code, I shall be responsible for assuring adequate drainage so that the
immediate corrimunity WILL NOT be adversely affected. I farther -acknowledge that in
granting this permit for the development of this property,; St. Lucie County is neither obliged
nor liable -to provide'for,-or maintain irl any form, adequate drainage'off my property whidh
will not adversely affect the immediate community. ..
Mari- w LUIt+ W3Snnrz
Property Owner Name
Property Owner Signature 'Date
STATE of FLORIDA, COUNTY OF:,q;i- - Tait- i'e
ACKNOWLEOCEO BEFORE ME THIS eg DAY -OF QC'P O ALA , 20�v
WHO IS FERSONAL'LY KNOWN TO ME -OR WHO HAS PROOU1260
SIONATURE OF NOTARY
NOTARY PUBuc TITLE
AS IDENTIFICATION.
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TYPE OR PMN`f NAME OF NOTARY
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