HomeMy WebLinkAboutFilled Land Affidavit RECEV -u SEP 20 Z0� •
L
:v
�u :;r;.:i: :.•*._ 'ST. ]LUCIE COUNTY
]BUILDING & ZONIlYN
t K .
2300 V1RGt-qIA AVENUE
FORT PIERCE,FL 34982-5652
772=462-1553
a
I
FILLED S A"I7lAWT
E�
l' I, the undersigned- am the owner of the following described property:
#1 301 —1 13 —0001 —non—S- Fact 51 of gconti nn 1 tnwnahi plug .Range 39E,
!= (Tax ID/L--gal descriptionIAddress)lying N&W of Turnpike FeedE
�= 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
t 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.
1
}�. . \ \�
: Mruj"tl]Pw T.yl cz wynna
Property Owner Name Property Owner Signature 'Date
STATE OF FLORIDA,COUNTY OF S t- Tai n i.e
ACKNOWLEDGED BEFORE ME THIS DAY OF �Fe�,IO ,20 L7
WHO IS PERSONALLY KNOWN TOME OR WHO HAS PRODUCED
r
AS IDENTIFICATION.
SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
(SEAL)
NOTARY PUBLIC TITLE lD&f�175SZF?hPI+TR3is8E
i ? DOROTHYANN BASKIN
r. :r•
! •' = MY COMMISSION#GG 030145
!, � � `c EXPIRES:October 2,2020
! '%;=,��€S:' Bonded Thru Notary Public Underwriters
r,
i