HomeMy WebLinkAboutFILLED LAND AFFIDAVITr
I
I
-ST. ]Lul I
Wm Di
2300 VIIRGJ
FORT P E Rd
72-4
I. t S;
i the owner of the following
I(1_Si F.ac.t � n+F' .GAS
(Tax M/Legal description
for which I have applied to St. Lucie County for a k
this Final Development Permit, BP Number
the above described property, and in accordance wii
Land Development Code, I shall be responsible fai
immediate community WILL NOT be adversely
granting this permit for the development of this prop
nor liable. to provide'for,- or maintain in any form, ad
will not adversely affect the immediate community.
Property Owner Name.
Property
STATE OF FLORMA, COUNTY OF` -St _ T. i i ;p
ACKNOWLEDOEO BEFORE ME TFUS -..?&t�- DAY OF
j` U6NA aiUNANCIL WHO IS PERS
AS IDENTIFICATION.
I
SIONATURE OF NOTARY TYPE OR
NOTARY PUBLIC TITLE
ji.
,COUNTY
& ZONING
IA -AVENUE,
FL 34982-5652
t-1553
t property: \bn
ownShil+ .44S •Range 39E,
ying N&W of'Turnpike Feede
nal Development Permit. In accepting
I acknowledge that as owner of
i Section 7.04.01(D), St. Lucie County
assuring adequate drainage so that the
`fected. I further -acknowledge that in
:rty,; St. Lucie County is neither obliged
.quate drainage off 'my property which
Signature 'Date
,20 0
OWN TO M6'OR WHO HAS PROOUCEO
rre y ,g7v,1) j&asA:-r o
d`T NAME OF NOTARY
(SEAL)
201111MMi
DOROTHY ANN BASKIN
MY COMMISSION # GG 030145
EXPIRES: October 2, 2020
,•��FOFF���, Bonded Thru Notary Public Underwriters