HomeMy WebLinkAboutFILLED LAND AFFIDAVITSCANNE®
BY
St Lucre Ck"Wh-4
ST. LITM COUNTY
BU LDING& ZONING
2300 VIRQDNTU AVENUE -
FORT PtRCg-, FL 34982-5652
772-462-1553
i, the undersigned; am the owner of the following described property: ��Q
#1 301 -1 1 1 -0001 -000-q Fact" A; of tap( -inn 1 township 34S .Range 3 E,
(Tax TD/Legatdescription/Address)lying N&W of . Turnpike Feede
!� 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
i; Land Development Code, I shall be responsible for assuring adequate drainage so that the
immediate corrimunity WILL NOT be adversely affected. I furtlaer-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.
Mat-tho-w T.jS1P W3snna \�
Property Owner Name
STATE OF FLORIDA, COUNTY OF,
Property Owner Signature Date
ACKNOWLEDGED BEFORE ME THTS DAY -OF C_0,&d7-, 2p
$Y d t�9 �oA�� Q�IiL A bOs? WHO TS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
AS IDENTIFICATION.
SIGNATURE of NO ARY
NOTARY PUBLIC TrrLE
TYPE OR PRINT NAME OF NOTARY
COMMISSION NUMBER
DOROTHYANN BASKIN
MY COMMISSION # GG 030145
EXPIRES; October2, 2020
Boided Thru Notary Public Undervrtiters
(SEAL)