HomeMy WebLinkAboutFILLED LAND AFFIDAVIT§1 LUCIR COUNTY
6GANN BUILDIN- G..& ZOMNG RECEIVE . D
2300 VIRGnq-fA AvENUE
APR 2'15 7010
FORT PffiRC9, FL 34982-5652
St Woo 772-462-1553 Permitting Department
St. Lucie county
ANM "' `-F I
1, the undersigned, am the owner of the following described property:
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�ax&�egal de�scrinfi,�,,IA&J,,�..I-
T Uk�gaidescriptiontAd"s)'northeaster'ly of 1-95
for which I have applied to St. Lu
this Final Development Permit, B
the above described property, and
Land Development Code, I shall'
immediate community WILL
granting this permit for the develoj
nor liable to providefor, or maintE
will not adversely affect the im'me
Property'Owner Name
STATE OF ff�ORIDA, COUNTY OF.
ACKNOWLEDGED BEFORE ME TMS
BY —Matthew 'T.�yl gm T.?,,,
SIGNATURE OF
LARY JBUC TrrLE
ie County for a Final Development Permit. In accepting
'Number I acknowledge that as owner of
n acdordance with Section 7.04'.01(D), St. Lucie County
e responsible for assuring adequate drainage so that the
be adversely affected. I fin-ther acimowledge that in
ment of this property, St. Lucie County is neither Obliged
n in any form, adequate drainage Off my property which
Uate com'munity.
Property Owner Signature Date
DAY OF '610A 1 C- 20-j
-LWHO IS PERSONALLY KN'0—WNTO ME OR WHO HAS PRODUCED
jAS IDENTIFICATION.
Aqs�K jJ
TYPE OR PRINT NAME OF NOTARY
(SEAL)
NUMBER
DOROTHY ANN BASKIN
MY COMMISSION # GG 030145
EXPIRES: October 2, 2020
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Bonded Thru Notary Public UnderwritM