HomeMy WebLinkAboutFILLED LAND AFFIDAVIT-4
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ST:LUCIE, COUNTY
SCANNED BUILDWG & ZONING
. BY 2300 VIRGM A AVENUE
St Lucie COUnt\TORT PIERCE; FL 34982-5652
772-462-1553
FILL, LAND`�S AFPID VIT
I, the undersigned, am the owner of the following described property: pk
#13Q6-11 i -nnn, _nnn in -I-
(Tax ID/Legal desc4d0nfAddr"O 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 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.
Matthew r �,1 P wnne,.... . ..... ..... ...
S\`I
Property'Owner Name Property Owner Signature `Date
STATE OF FLORIDA; COUNTY OF__At_ t_ L u i
ACKNOWLEDGED BEFORE ME THIS .__LS_:tAY OF l L- C d"d"'Ir%L 20
BY _M3 tth to T yje Win n P wH0 IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
AS IDENTIFICATION. p
to Ile o� Y 1q, / A &Kf N
SIGNATURE OF N TARY TYPE OR PRINT NAME OF NOTARY
NOTARY PUBLIC TITLE (SEAL)
COMMISSION NUMBER
MIMI
<e�Y"✓'' DOROTHYANN BASKIN
,. MY COMMISSION # GG 0301.45
i 9 �; EXPIRES: October 2, 2020
"�""F .6 Bonded Thru Notary Public Underwriters