HomeMy WebLinkAboutFILLED LANDS AFFIDAVIT - 84 LAGOS DEL NORTEST. L CM COUNTY
BI MI)ING & ZONING
2300 VIRG324U AVENUE
FORT PIERCE, FL 34982-5652
772462-1553
FII�LE� LA1��-� ��I�ZIA3'7C
I, the undersigned, am the owner of the following described property: C v zc�
{}1301-111-0001-00n-5- rant clf QA(•i-inn 1 tncn�hin 4QS .Range 39E,
. (Tax ID2egatdescriptiorl/Address)lying N&W of Turnpike FeedE
for which I have applied to St. Lucia County for a Final Development Permit. In accepting
this Final Development Permit, BP Num fiber , 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.
Mai -thaw Tvla WLrnna
Property Owner Name
Property Owner Signature Date
STATE OF FLORIDA. COUNTY OF St. T.tic i_P
ACKNOWLEDGED BEFORE ME THIS a 3 DAY OF
l� m WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
AS IDENTIFICATION.
I JoilcoTH Y &N'AO Aq&<i t-->
SIGNATURE OF NOT RY- TYPE OR PRINT NAME OF NOTARY
(SEAQ
NOTARY PUBLIC TITLE oaf
a DOROTHYANN BASKIN
MYCOMMISSION#HH045443
4,7, EXPIRES; October 2,2024
!m�FOF e�°P Bonded Th.Notary PuWUMervrtiters