HomeMy WebLinkAboutFILLED LAND AFFIDAVIT. I - ]LUU4 UU ufvfy
qQ119idVI I ]BUILDING & Z0N*1NG
AS. 2300 VIRGMA AVENuE
FORT MERCK FL 34982-5652
772-462-1553
EMV.
1, the undersigned, am the owner of
(Tax
for which I have applied to St. Lucii
this Final Development Permit, BP .'
the above described property, and in
Land Development Code, I shall be
immediate community W- 19
granting this permit for the e
nor liable to providefor, or I
will not adversbly'affect the
Mat :hew LIZI A wynncz . . .
following described property:\\-k�uo� P"—\CL"\0'
legal descriptionaddress) ortheast�rly of 1-95
County for a Final Development Permit. Jn accepting
iumber I acknowledge that as owner of
acdordance with Section 7.04'01(D), St. Lucie County
responsible for assuring adequate drainage so that the
be adversely affect6d. I firther acimowledge that in
ent of this property, St. Lucie County is neither obliged
in any form, addquate drainage off my property which
Lte community.
Property'Owner Name Property Owner Signature Date
STATE OF FLORIDA, COUN�TY St L, I
leb
ACKNOWLMGEDI9EFOREmETmS—A3
Ell' DAYOF
BY Ma tthew T.ki g- Inne
-- WHO IS PERSONALLY KNOWN To ME OR WHO HAS PRODUCED
—A'S MENTIRCATION.
I
SIGNATURE OF VOTARY
TARY JBUC TrILE
6,4 -S "'-- " 'j
TYPE OR PRINT NAmE OF NOTARY
IN
DOROTHY ANN BASK3,1
OM&JISSION#GGO 45
My C
EXIPIRES- October 2 2020
Bonded Thru NOWY Public Undervinters
(SEAL)