HomeMy WebLinkAboutFILLED LANDS AFFIDAVIT - 24 SAN ROBERTOI
#1
ST. LiJCI COUNTY
BUMI ING & ZONING
230G VMGD-41A AVENUE
FORT PIERCE; FL 34982-5652
772-462-1553
FILEB S° ANY-1 7C
I, the undersigned; am the owner of the following described property:
(Tax ID/Lagal
Ship 14G .Range 39E,
N&W of Turnpike Feede
j• for which I have applied to St. Lucie County for a Final Development Permit. In accepting
this Final Development Permit, BPNumber , 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 corrlmuaity 44ML 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 providefor, or maintain in any form, adequate drainage off my property which
will not adversely affect the immediate community.
Property Owner Name Property Owner Signature Date
STATE OF FLOPMA, COUNTY OF
ACKNOwLEOGEO a£FOREM£THIS / DAYOF_ Z:2 P x�, 20a?
s y rv=gal 41 WHO LS FERSONALLY KNOWN TOME OR WHO HAS PROOvCeo
AS ,WENTIFICATION.
SIGNATURE OF NOTARY
NOTARY PUBLIC TrrCE
fea -jW Y / &,y /BASK
TYPE OR PRnTr NAME OF NOTARY
tSFAta
=DOROTHYANN
BASKINHH 045443="
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2,2024';'Ilic Underwriters