HomeMy WebLinkAboutFILLED LANDS AFFIDAVITST. LU:CIE COUNTY
BUILDING & ZONING
2300 VIRGINIA AVENUE
FORT PIERCE; FL 34982-5652
772-462-1553
FILLLD LANDS AFFIDAVIT
I, the undersigned, am the owner of the following described property:
(Tax ID1119aldescription/Addr"S) 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 vl a kLzn,a
Property Owner Name Property Owner Signature Date
STATE OF FLORIDA. COUNTY OF
ACKNOWLEDGED BEFORE ME THIS I (AP _ DAY OF 20!
BY —Matthew rir1P W_yMnP WHO IS pERSONALLY KNOWN To ME WHO HAS PRODUCED
SIGNATURMOF 1 !ARY7
NOTARY PUBLIC TITLE
IDENTIFICATION.
�O/Q O'M1fv tYAlN BASKt.J
TYPE OR PRINT NAME OF NOTARY
COMMISSION NUMBER (SEAL)
' DOROTHYANN 3ASKIN
1r� MYCOMMISSION#HH 045443
v?;� EXPIRES: Octobe, 2,2024
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