HomeMy WebLinkAboutFILLED LAND AFFIDAVITr
SCAI NEE)
$Y ST. I;UCIE COUNTY
Si Lucie Cou
tbMI)I'I:NG & ZONING
2300 VIRGNU AVENUE
FORT PIERCE, FL 34982-5652
772-462-1553
FILL ``LA'"i A IDA' IT
I, the undersigned, am the owner of the following described property:
#1306-11 1 _nnn� ��.0� /n • .' ti /7 Id 7 1 th��ar
(Tax ID/Legal descripdon/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 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.
Match
Property'Owner Name
Property Owner Signature Date
STATE OF FLORIDA. COUNTY OF
ACKNOWLEDGED BEFORE ME THIS - [•s DAY OF 20j7
BY Matt w T, 7 p Wynn- WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
AS IDENTIFICATION. Q
SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
NOTARY PUBLIC TITLE
• NUMBER (SEAL)
COMMISSION
DOROTHYANN BASKIN
` MY COMMISSION # GG 036145
EXPOM. October 2. 2020
8 0 rm P ft Uftde Wt015