HomeMy WebLinkAboutFILLED LANDS AFFIDAVIT - 6748 LILAST. LUCIE. COUNTY
BUILDING & ZONING
2300 VIRGINIA AVENUE
FORT PIERCE FL 34982-5652
772-462-1553
FILLED LANDS AFFIDAVIT
I, the undersigned, am the owner Of the following described property: (D`��{�
(Tax ID/Lega[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 WILL 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.
Matthew T-vl a LJ�nna � 1
Property Owner Name
Property Owner Signature Date
STATE OF PLORIDA, COUNTY OF S t _ L U i `-
ACKNOWLEDGED BEFORE ME THIS, 3 DAY OF
�20
BY w T
Matthe, p 7
---- .y�.I..�nn a WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
AS IDENTIFICATION.
SIGNATURE OF 1 OTARY
NOTARY PUBLIC TIME
IJOR&THY 66L, }SK!!J
TYPE OR PRINT NAME OF NOTARY
COMMISSION NUMBER (SEAL)
DOF.DTHYMN BASK'P!
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EXPIRES;OctoberZ2024
91ndetl Thm Natzcy Pubec Underwriters