HomeMy WebLinkAboutFilled Land AffidavitST. LUCIE COUNTY
]BUM DING' & ZONING
2300 VE CT1i. -U AVENUE,
FORT PIERCE, FL 34982-5652
772-462-1553
LL 'I - AVYT
n the owner of the following described property:%2,�at`nZ-at r
1111_5- F.a--qt 1 nf'.SACtinn 1 townShip.44G .Range 39E,
(Tax M/L.egal description/Addre$s)lyirlg N&W o F . Turnpike Feetle
j� for which I have applied to St. Lucie County for a Final Development Permit. In accepting
this Final Development Permit, BP Number , I acknowledge that as owner of
the above described property, and in accordance with Section 7.04.01(D), St. Lucie County
!= Land Development Code, I shall be responsible for assuring adequate drainage so that the
t,
immediatecommunity WILL NOT be adversely affected. I further acknowledge that in
granting this permit for the development of this property,; St. Lucie County is neither obliged
nor liable -to provide'for, or maintain in any form, adequate drainage off my property which
will not adversely affect the immediate community.
Mat1-haor T.;>tA w3.nne
Property Owner Name
STATE OF FLORMA, COUNTY OF,
Property Owner Signature 'Date
lob
ACKNOWLEDGED BEFORE ME THIS 3 DAY OF 1&)0V f?T1de7'I-, 20L2,
BYAt4 �G �:a�i�$ itoYb�. WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PROOUCEO
AS IDENTIFICATION.
AaaL
SIGNATURE OF NOTARY
NOTARY PUBLIC TITLE
TYPE OR PRINT NAME OF NOTARY
eoNtivlt�rorvN&&UEAy ANN BASKIN
toe MY comisSION # GG 030145
a EXPIRES; October 2, 2020
Bonded Thru Notary Public Underwriters