HomeMy WebLinkAboutFILLED LAND AFFIDAVITr
ST"LUCIR COUNTY
BUILDING & ZONING
SCANN FORT PIER E• FL, 3 82 AVENUE 2
BY 772-462-1553
FILLET °; . l-DA"- T
I, the undersigned, am the owner of the following described
# 13 - property: �cQz.\
7 3d �CZ ai 1 that rnrj- 1y jng
(Tax ID/Legaldescription/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, 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 develppment 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.
Mat_ ih�lg�wy„n_, ..
Property•Owner Name
Property Owner Signature Date
STATE OF FL.ORMA; COUNTY OF _ S t _ Z u i
ACKNOWLEDGED BEFORE ME THIS � DAY OF G M — 20_Z2
BY —Md tth W Tdtln wynp WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
AS IDENTIFICATION.
/QO—Zl 4 S l� ICJ
SIGNATURE OF NOT RY TYPE OR PRINT NAME OF NOTARY
NOTARY PUBLIC TITLE
• NUMBER (SEAL)
COMMISSION
DORO i HYANN BASKIN
MY COMMISSION# GG 030145
W EXPIRES: October 2, 2020
Bonded Thru Notary Public Underwriters