HomeMy WebLinkAboutFILLED LAND AFFIDAVIT.ST. ]LUCIE COUNTY
BUILDING & ZONiNG
2300 VIRGI1q7A AVENUE
FORT PIERCE, FL 34982-5652
772-462-1553
FILLVD `'� ...,. ` °S. AF IDAWT
I, the undersigned, am the owner of the following described property:
#13p1 111_(10o1_nnn_s; Fact I of Sar•tjnn 1 tnwnchip 14S .Range
(Tax M/Legal description/A.ddress)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 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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Matt-hPw T.yl p W_3Znna
Property Owner Name
Property Owner Signature Date
STATE OF FLORIDA. COUNTY OF_.R t _ T,I I r i P
ACKNOWLEDGED BEFORE ME THI/SI ' _ DAY OF , 20 ?
BY //! A'7TZ"i-^k% GV(-r WY�VING wH0IS PERSONQLY KNOWN TO ME OR WHO HAS PRODUCED
SIGNATURE OF N9TARY
NOTARY PUBLIC TITLE
AS IDENTIFICATION.
TYPE OR PRINT NAME OF NOTARY
(SEAL)
,04 ",+,� ,
COIIOTHYANN BASKIN
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MY COMMISSION # GG 030145
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EXPIRES: October 2,2020
Bonded firu Notary Public Underwriters