HomeMy WebLinkAboutFILLED LANDS AFFIDAVIT - 15093 AGUILASM. LUCIE COUNTY
BUILDING & ZONING
2300 VIRGMA AVENUE
FORT PIERCi FL 34982-5652
772-462-1553
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I, the undersigned, am the owner of the following described property: \
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(Tax ID/Legal description/.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, PP Number ' , I acknowledge that as owner of
the above described property, and in aceordance with Section 7.04' 01(D), St. Lucie County
Land Development Code, I shalt be responsible for assuring adequate drainage so that the
immediate community WILL lYOT be adverselyaffected. d 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.
Property'Owner Name
Property Owner Signature Date
STATE OFFLORIDA, COUNTY OF S t: L t1C ice_
ACKNOWLEDGED BEFORE jA E THIS _ - DAY OF ��gR( T� 20 as
13Y M` tth— pW Lyle Wjrnne wFtOIS
OR WHO HAS PRODUCED
AS IDENTIFICATION. pp
SIGNATURE O TOTARY TYPE OR PRINT NAME OF NOTARY
NOTARY PUBLIC TITi E (SEAL)
COiVWSSION NUMBER
DOROTHYANN BASKIN
MY COMUSSION # HH 045443
' EXPIRES: October 2, 2024
Bonded Tivu Notary Pubic Underwriters