HomeMy WebLinkAboutFilled Land Application!
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SST. LUCIE COUNTY
]BUM DING & ZONING
2300 VIRGMTA AVENUE
FORT PIERCE, FL 34982-5652
772=462-1553
SLED NO ..``-S XV1111 Da YIT
1, the undersigned, am the owner of the following described property: S
#1 3n1 _1 1 1 .-0001 -nnn-S f Fact z of ume-t i on 1 tnwnSShi� .14S .Range
M/L (Tax egal description/A.ddreos)lying N&W of Turnpike
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 filrther 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 dra�inage off my property which
will not adversely affect the immediate community.
Property Owner Name
Property Owner Signature 'Date
STATE OF FLORIDA, COUNTY OF* A f - T.O c` i e
R /lia v� E7z
ACKNOWLEOGEO BEFORE ME THIS 3 DAB'• OF _ 20L.
BytNaMA� is�A WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PROW=
AS IDENTIFICATION.
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SIGNATURE OF NOTARY TYPE OR PRIN'P NAME OF NOTARY
(SEAL)
NOTARY PUBLIC TITLE==BASKIN
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