HomeMy WebLinkAboutFILLED LANDS AFFIDAVITI
I
ST. L CIE COUNTY
Bi MD -I tG. & ZONING
2300 VIRCrZTIA AVENUE
FORT PIERCE, FL 34582-5652
772-462-1553
I the owner of the following described property: pz` C\ �-
tnsanshin1AS .Range 39E,
(Tax IDlfegatdescripcon/Address)Zying N&W of Turnpike Feecle
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 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 TRIP Lj�,nnP �� �\d�`y'S
Property Owner Name Property Owner Signature Date
STATE OF FLORMA, COUNTY OF fit _ T.tic i-e
ACKNOWLE00E0 BEFOREME THIS DAY OF , 20-1/
M,06 WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
SJONATURE OF NOTARY
NOTARY PUBLIC TITLE
IDENTIFICATION.
VaRoTHY �-ivn� �Rs�er�
TYPE OR PRINT NAME OF NOTARY
(SEAL)
COMMISSION NUMBER
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!y Whlic Urderunters