HomeMy WebLinkAboutFILLED LANDS AFFIDAVIT - 10 MONTOYAST. LUCiE COUNTY
BUILDING & ZONING
23OG VFRGINIA AVENUE
FORT PIERCE; FL 34982-5652
772-462-1553
FILLED' S AF-17D U7CT
I, the undersigned, am the owner of the following described prope4y:\'�3 (y
#13ot—t v _nnnt_nnn_s- F Gr ? f c 1dS Range 39E,
(TaxM/Legatdescription/AddreSs)Zying N&W o£ 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
1 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 ftuther 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. i (� � nna
Property Owner Name
Property Owner Signature Date
STATE OFFLORMA• COUNTY OF"Ra_ Tait it
ACKNOWLEDOEDBEFOREMETHSS CP/ DAY OF —2e4ak--�- ,202f•
aY %4N$V'eA.S L.o \�L&N-46 -`WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
AS MFNTLFTCATIOON.
`ivy�.r QV'^'J'i�-" 1 J O Rc��iH• Y �AIV � LA'S � (nJ
STONATURE OF NO ARY TYPE OR PRINT NAME OF NOTARY
(SEAL)
NOTARY PUBC.(C -TITLE COMM!$SION N[LMBE
;os+ems DOROTHYANN BASKIN
MY COMMISSION k HH 046443
EXPIRES: October2,2024
Bonded mti Notary Public Underwriters