HomeMy WebLinkAboutFILLED LAND AFFIDAVITSCANNED
BY
St Lucie County
-ST. L C9 COIJNT'Y
HUMOING & ZONING
2300 VIROMIA AVENUE
FORT PtRdg-, FL 34982-5652
772-462-1553
C L D ` S AIf*IDA."T
n the owner of the following described property\� 601ZA\�\o
ln_s, Faait I—e nF RPc�f i rnn 1 township �aS .Range
(Tax W/Lagatdescdption/Addre$s)lying N&W of Turnpike
�= for which I have applied to St. Lucie County for a Final Development Permit. In accepting
this Final Development. Permit, BP Number , I acknowledge that as owner of
the above described property, and in accordance with Section 7.04.01(D), St. Lucie County
Land Development Code, I shall be responsible for assuring adequate drainage so that the
immediate community WILL NOT be adversely affected. I f u-ther•acknowledge that in
granting this permit for the development of this property,: St. Lucie County is neither obliged
nor liable to provide'for, or maintain in any form, adequate drainage off my property which
will not adversely affect the immediate community.
MsZt.hsw T.3s l oo W Un n r=
Property Owner Name
Property Owner Signature 'Date
STATE OF FLORmA, COUNTY OF_$: - Tait i .P
ACKNOWLEDGED BEFORE ME THIS - DAYOF Ili CF /!fin , 20-1-1
-WHO IS PERSONALLY KNOWN TO ME OR WHO HAS ARODUCEO
SIGNATURE OF N TARY
NOTARY PUBLIC TrrLE
AS IDENTIFICATION.
Imo ,2a-T�r � r`lN r� B A c,e, n1
TYPE OR PRINT' NAME OF NOTARY
SEAL)
DOROTHYANN BASKIN
's MY COMMISSION # GG 030145
EXPIRES: October2,2020
'•;; o Bonded Thru Notary Public Underwriters
39E,
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