HomeMy WebLinkAboutFILLED LANDS AFFIDAVIT - 6 OCTAVIO „
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I` ST, LUCIE COUNTY
ti re 2300 VIRGJNIA AVE qTM
- FORT PMRCE,FL 34982-5G52
- 772462-1553
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'•,' I, the undersigned, am the owner of the following described property:
#1 jCI1 -197 n()�7 _lt tlfl_S- Paaf �1: of QP.ntinn t tnwnchjp id C .Range 39E,
I' (Tax ID2egatdescriptior,/Address)lying N&W of Turnpike Fee&
j: 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 WILL NO 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.
Property Owner Name Property Owner Signature Date
STATE OF FLORIDA.COUNTY OF.t . LIi Imo_
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ACKNOWLEDGED BEFOREMETMS OF
\e i8�4a�. WHOIS PERSONAt:[.Y KNOWN TO ME OR WHO HAS PRODUCED
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AS MENTEFiCAT[ON.
Ww.- 0�'�' t/D Ro"f•H`f �NN .fJRSKt,J
SMNATURE OF NOTARY- TYPE OR PRINT NAME OF NOTARY
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NOTARY PUBLIC TITLE C
i •.a• o DOr^,OTHY ANN 6�HSKIy
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{;,r��o;- EXPInES:OCtober 2,2024
{ : Fodd�"° gp.;uypfivNabry PuSlic Underxn!ers
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