HomeMy WebLinkAboutFILLED LANDS AFFIDAVIT - 13976 BRAZILST. LUCIE COUNTY
BUILDING & ZONING
2300 VIRGINIA AVENUE
FORT PIERCE; FL 34982-5652
772-462-1553
FILLED LANDS AFFIDAVIT
I, the undersigned, am the owner of the following described property:\�� 1 L oC 0.2�
#13.06-111-nnna_nnnln_'.i-
(TaxIDlLegaldescription/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.
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Property Owner Name
STATE OFFLARIDA, COUNTY OF St_ Ln
Property Owner Signature Date
ACKNOWLEDGED BEFORE ME THIS I (O DAY OF agsA!P y� 20�
BY Matthew rI" 1 el—WYnne WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
NOTARY PUBLIC TITLE
IDENTIRCA77ON.
(a le 6TK Y /TNIy A95 K V'Q
TYPE OR PRINT NAME OF NOTARY
COMMISSION NUMBER (SEAL)
w DOROTHY ANN BASKIN
MY COMMIS510N#HH 0..5443
EXPIRES: October 2, 2024
Bonded Thum Notary Public L'rw'eMTIte5