HomeMy WebLinkAboutFilled Land Affidavit2300 VIRG A r 18 1
FORT PtRdg, 34952
772=462-1 5R. Lucie County, Permitting
\o`,e
i the owner of the following described property: 7g\v.�c S
In—S - Fact of I te3wnShi p -3_S Range
(Tax TD/Lega! description1Address)lying N&W %J Turnpike
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 WELL NOT be adversely affected. I f nther•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.
Property Owner Name Property, Owner Signature Date
STATE OF FLORIDA, COUNTY OF_,qJ7 _ T.Ot- i *e
ACKNOWLEDGED BEFORE ME THIS DAY' OF
sytBajaw\.*— WHO IS PERSONALLY KNOWN TO ME -OR WHO HAS PRODUCED
AS IDENTIFICATION.
QQ1 4 iv iv 19,45Aef
SIGNATURE OF IQTARY. TYPE OR PRINT NAME OF NOTARY
EA W
NOTARY PUBLIC TITLE
66ROTHYANN ASKIN
+: *; MY COMMISSION # HH 045443
"� : as EXPIRES: October 2, 2024
r`r BmW Thru NotWPublic Underwriters
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