HomeMy WebLinkAboutFILLED LANDS AFFIDAVIT - 6104 SPANISH LAKES BLVDST: LUCIE COUNTY
BUILDING & ZONING
2300 VIRGEUA AVENUE
FORT PIERCE, FL 34982-5652
772-462-'5ss
FILLEDLANDS AFFIDAVIT
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I, the undersigned, am the owner of the following described property:
#13.06-111—nnnt_nnnin_'.i�
(Tax ID/Legal 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 c 1 WT Znn
Property Owner Name Property Owner Signature Date
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFORE ME THIS aI DAY OF . 20--"-y
BY Matthew T1r1— pLTyYnnp WHO IS PERSONALLY KNOWN TOME OR WHO HAS PRODUCED
AS IDENTIFI—CATION. /�N 4 �/
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SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
NOTARY PUBLIC TITLE (SEAL)
_ �Q]yjbQSCTON N[IyIB
�Fwtia�'•. DOROTHY A.NN BASKIN
MY COMMISSION#HH 045443
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EXPIRES: October 2, 2024
1 .'or r, ...... Boated Thy Notary Public Undervrt0em