HomeMy WebLinkAboutFILLED LANDS AFFIDAVIT - 14163 ISLA FLORESST.'LU.CIE COUNTY
BUILDING & ZONING
2300 VIRGE UA AVENUE
FORT PIERCE; FL 34982-5652
772-462-1553
FILLED LANDS AFFIDAVIT
I, the undersigned, am the owner of the following described property: \y\ S SXC(
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(Tax ID/Legal description/Address) northeasterly of I-95
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 WML 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.
—_
Mat•thP.> r. I nynna
Property Owner Name
STATE OF FLORIDA, COUNTY OF
Property Owner Signature Date
ACKNOWLEDGED BEFORE ME TmSDAYOF_LY oO l 20�
BY Mdtthew Ty P W_yMnP ERSOwHO ISPNALLYKNOWN TO MF' ORWHO HAS PRODUCED
NOTARY PUBLIC TITLE
IDENTIFICATION.
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TYPE OR PRINT NAME OF NOTARY
(SEAL)
—�, ,,yC OMMISSION NUMBER
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