HomeMy WebLinkAboutfilled lands affidvait I;
ST. LUCIE COUNTY
BUILDING & ZONING
`! `•; __ ,. 2300 VIRGINtA AVENUE
FORT PIERCE,FL 34982,5652
772-462-1553
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h FfiLLED YANDS AFFIDAVIT
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• , the undersigned, am the owner of the following described property:5\W���'\'Vc�
#1 30 -1 1 1 -0001 -nnn-S- Fact of Sr-r-ti on 1 tnWncht}1 14S Range 39E,
(Tax M/Legal description/A.ddress)lying N&W of Turnpike FeedE
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 7.04.01(D), St. Lucie County
Land Development Code, I shall be responsible for assuring adequate drainage so that the
immediate community WILL NOT be adversely affected. I further 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 in any form, adequate drainage off my property which
will not adversely affect the immediate community.
I�a_tthc�w T.y, P W�,>•nnP
{ Property Owner Name Property Owner Signature Date
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STATE OF FLOR DA,COUNTY OFF t T�tl c•i P
ACKNOWLEDGED BEFORE ME TH.TS / DAY OF � �uy 20 17
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BY WHO IS PERSONALLY KNOWN TOME OR WHO HAS PRODUCED
AS IDENTIFICATION.
R-o .4 y /4 AJril /U/1 SKc n�
SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
NOTARY PUBLIC TITLE COMMissrON NUMBER (SEAL)
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! � '•• DOROTHYANN BASKIN
MY COMMISSION#GG 030145
! F EXPIRES:October 2,2020
Bonded Thru Notary Public Underwriters
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