HomeMy WebLinkAboutFilled Land ApplicationST. LUCIE COUNTY
BUILDING & ZONIN(
2300 VIRGMA AVENUE
FORT PIERCE, FL.34982-5652
772-462-1553
EU00" E I V
AUG 0 ' 3 2017
-- --.._ - FILLEDyIIANDS
I, the undersigned, am the owner of the following described operty:
113xg"got- DOOd-000- /,o-r6 Mimbo,0600 041rf '?67,1 12ALL-20
(Tax M/Legal description/Address)
for which I have applied to St. Lucie County for a Final Development Permit. In accepting
this Final Development Permit, BP Number 1 *197- 03A 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 NUT 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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S�tipOM s -
Property Owner Name Property Owner Signature Date
STATE OF FLORIDA, COUNTY OF `S-r' Ci can,
a� ACKNOWLEDGED BEFORE ME THIS � DAY OF "�/20L
BY
WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
AS IDENTIFICATION.
SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
(SEAL)
NOTARY PUBLIC TITLE COMMISSION NUMBER
Notary Pub% Ste* of Fladda
+�fN. Danielle King
My Commissbn FF 93122B�ir�' Expiree 1OW12019