HomeMy WebLinkAboutFilled Land AffidavitQ
ST. LUM OU'TY
.UM I. N.
�r 20I,1 JCr
2300 VAtMIA AVENVE-
FORT PIERCE; FL 34582-5652
772-462-1553
.1, the undersigned; am the owner of the following described property:
�{130� -1 1 1 _nn(11 _nnn f Fact 1 f, , GU=.f-:-i nn g Ito ria • p_34 .Range
(Tax M/Uiiddescdption/Addre�'s)lying N&W of ' Turnpa.ke
; 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 corrimunity VI'-ML NOS' 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 lti any�fornn, adequate dra7'nage off my property which
will not adversely affect the immediate community.
F•
• Mai -thew T.y7 A n7yriTIP
Property Owner Name Property Owner Signature Date
STATE OF FLORIDA, COUNTY OF' S: T i i'ro
i•
ACKNOWLEOGEO BEFORsmeTHIS OZ ` DAY OF ✓L� l _ILL_, 20
!` BY E ib4\0— u6� WriO Is PERSONALLY M, OWN TO ME'OR WHO HAS PROOUOEO
AS IDENTIFICATION.
SJONATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
•
NOTARY PUBLIC TrrLE g0Kh iSSION NUMBER (SEAL)
JOY POLLARD
Commission # GG 62174
?+ *'-
;,y' My Commission Expires
January 1A. 2021
39E,
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