HomeMy WebLinkAboutFILLED LANDS AFFIDAVIT - 172 CALLE DE LAGOS0
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'T. LU C I UNTY
BUILDING & ZONING
230E V RGZaA AVENUE
FORT PIERCE, FL 34982-5652
772462-1553
A�7 IDA�I °
I, the undersigned, am the owner of the following described property: S
(Tax ID/Legzl
eh;4QC .Range 39E,
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 WELL NO 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 my property which
will not adversely affect the immediate community. .
MAtt-hew T Xl p Rvnnc+
Property Owner Name
Property Owner Signature Date
STATE OF FLORIDA. COUNTY OF G:i- - Tj J n i c=
ACKNO WLEDOEO BEFORE we THJs /I DAY of �, 2D 2 I
13Y6 t4"gk TNkQ0- WHO IS PERSONALLY TC40WK TO MEOR WHO HAS PRODUCED
AS MENTIFICA�T[ON.
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SJONATURE OF NO ARY TYPE OR PRINT NAME OF NOTARY
NOTARY PUBLIC TRLB
(SEAL.) TAV
4,
DOROTHYP''N EASKIN
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MY COMMISSION HH 045443
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EXPIRES; October 2,2024
Sands ThN Not_ry Fublic UiMerxnters
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