HomeMy WebLinkAboutFILLED LANDS AFFIDAVIT - 9 NUESTRA ISLA s
t
ST. La3CIE COUNTY
FTTL9lIsTn & ry TTT^
2300 VI&GA11A AVENUE
Y w FORT PIERCE,FL 34982-5652
- 772452-1553
E FILLED �A IEDAVIT
k � �I, the undersigned; am the owner of the following described property:
{�13�1 111 (1(141 nnn S Eaat s a-f Santinr 4 tnwnchiP1aC .Range 39E,
F (TaxlD2egatdescription/Address)lying 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
i! Land Development Code, I shall be responsible for assuring adequate drainage so that the
immediate community `rft L NO 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.
j
Mai"I'FIPW T.3zl P GIVT'nP
Property Owner Name Property Owner Signature Date
STATE OF FLORIDA.COUNTY OF`fit _4,
QT.I i�i'P
ACKNOWLEDGED BEFORE ME THIS 4_DAY OF - 7
��d��WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
AS MENTIPLCCATTION.
. ;IJGc 1J0�o7u 1�N J �ltSA::(a
SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
(SEAU
NOTARY PUBLIC TITLE -
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