HomeMy WebLinkAboutFilled Lands AffidavitRECEIVED
ST:'LUCI' COUNTY
BUILDING & ZONING N O V 2 6 2019
2300.VIRGINIAAVENUE ST, Lucie County, Permitting
FORT PIERCE, FL 34982-5652
772-462-1553
FILL��:'�ri1 � L' f7 FIDA 11
I, the undersigned, am the owner of the following describedproperty:\�'C_
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(Tax ID/Legal description/Address) northeasterly of I-95
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 aceordance 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 files 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.
Matth
Property 4wiler Name Property Owner Signature Date
STATE OF MORIDA, COUNTY
ACKNOWLEDGED BEFORE ME THIS DAY OF JAJD O F70,dam- 20��
BY —Md tth ■7 T r 1 �U7 nn p wN0 IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
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22 ' S IDENTIFICATION. //��
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SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
TARPUBLIC TITLE (SEAL)
COMMISSION NUMBER
,,,;;•%t,,., ^ DOROTHYANNBASKIN
MY COMMISSION # GG 030145
•}qi EXPIRE&October 2.2020
dt BondedThru Notary Public Underwriters