HomeMy WebLinkAboutFILLED LANDS AFFIDAVIT - 10 ECUADOR CT J! ST.LIT / 1TNMy
BUILD-ING ZQ'&MG
_ rs 2300 VMGnglA AVENLSE
AM E
FORT FIERCE,FL 34982-5652
772462-1553
AF
I, the undersigned, am the owner of the following described property: 0- sf�
f #113(11 i11 CI C104 fltl{t SrPact- L n•P 4cr-tion 4 4nwm Ship aS .Range 39E,
F (TaxD/Legzidescripticn/Address)lping N&W of Turnpike FeedE
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 `rft L NO i be adversely affected. I farther 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 lay property which
will not adversely affect the immediate community.
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Property Owner Name Property Owner Signature Date
STATE OF FLORtDA.COUNTY OF G# - T•nC! P
ACKNOWLEDGED BEFOREMETMS DAY OFeL
1
�ti9�� a u�8��. WNOIS PERSONA[:i.Y KNOWNTOME OR WHO HAS PRODUCED
a
AS DENTIFTCAT[ON.
I
SJONATURE OF NO',ARY TYPE OR PRINT NAME OF NOTARY
(SEAL)
NOTARY FUBgc TrrLB -
w.,, 00ROTHYANN BASKIN I•
'• ( M'COMMISSION 4 HH 045443
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' I ° Bo�bedThmNo!ary Yuohc U�d�umters
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