HomeMy WebLinkAboutFilled Land Affidavita
S LUCTE.- COUNTY
2300' VIl€GItA A '
FORT PIERCE; i7L 3498 5652
. 772-462-1553
Oi,T G I '.�'
wvr~J
ST. Lucie County, Permitting
IA the undersigned; am the owner of the following described prope4y:TA1q, `-As
tay4=I" -34 Range 39E,
ing N&W of Turnpike Feede
for which I have applied to St. Ludie 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 IML NOT be adversely affected. I further -acknowledge that in
granting this pennit for the development of this property,, St. Lucie County is neither obliged
nor liable -to provitle'for, or maintainin any forth, adequate drainage offnny property wbidh
will not adversely affect the immediate commuriity.
Property Owtier.Name
Pro. perty Owner Signature 'Date
STATE OF FLORrDA, COUNTY OF' 9± F. ; . - i •ems
ACKNOWLEDGED BfiFORE ME TFIIS � DAY.OF ► ex , 20�
� WHO iS PERSOINAL:LY M,10WNTO M5'OR WHO HAS PROOUCEG
AS IDENTIFICATION.
1
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SJO&ATURE OF NO ARY• TYPE OR PRINT NAME OF NOTARY
ZYOT/X•RY PUBLIC TITLE
S$AL)
DOROTHYANNBASKIN
MY COMMISSION # GG 030145
EXPIRES; Oclober2, 2020
Bonded Thru Notary Public Underwriters