HomeMy WebLinkAboutFILLED LAND AFFIDAVITr
SCANNED
y
County
ST:L,UCIZ COUNTY
BUILDING & ZONING
. 2300 VIRGINIA AVENUE
FORT PIERCE, FL 34.982--5652
772-462-1553
FILLED` `LANDS AFFIDAVIT
I, the undersigned, am the owner of the following described property: UAM
#1306-11 1-nn111 _n•nn /0 i• .' ti /7
-4 a -4
(Tax D'Ugal descriptiOn/Address) northeasterly
��e.�enclrq
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 comlriunity.
Matth _� r �r7 A Wnnr� �a1\'5\`
Property•Owner Name
Property Owner Signature Date
STATE OF RLOPMA; COUNTY OF
ACKNOWLEDGED BEFORE ME THIS __L _ DAY OF �CE%i78 GZ 20 / 7
BY Ma tth W T W_yn n P wHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
AS IDENTIFICATION. 4NN e,45
SIGNATURE OF OTARY TYPE OR PRINT NAME OF NOTARY
NOTARY PUBLIC TITLE
• COMMISSION U (SEAL)
DOROTHYANN BASKIN
MY COMMISSION # GG 030145
: :q- EXPIRES:Octoper2,2020
••,FOF €� Bonded ThN Notary Public Underwriters