HomeMy WebLinkAboutFILLED LANDS AFFIDAVIT - 12 VISTA DE LAGUNAi
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ST. LUM COUNTY
BUILDING & ZONING
230U VIRGMA AVENUE
FORT PIERCE; FL 34582-5652
772-462-1553
L the undersigned; am the owner of the following described property:
(Tax IDIT-4-1
whip sac .Range 39E,
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 corrimunity 7AML NOT be adversely affected. I further acknowledge that in
granting this permit for the development of this property; St. Lucie Countyis 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. .
M;Rf-f-haw T.L71P Wyrrg
Property Owner Name Property Owner Signature Date
STATE OF FLORA, COUNTY OF Safi T,Ij< is
AC,nKKNaOWLEDGED BEFORE ME THIS I_ DAY, OF , 20 uZf
8'"•sLqft � •����A�=" 19NN2- WHO IS FERSONALLY FINOwNTOME OR WHO HAS PRODUCED
SIONATURE OF NOTARY
NOTARY PUBLIC TrrLe
IDENTrFiCAVON.
Do ROT?4 y Alm
TYPE OR PRINT NAME OF NOTARY
� � �� ttY CC'r1^"ISSiOiJ,".-NN U45443 I
I - r�^� EXr'IRES. Odooer 2, 2024 J!
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