HomeMy WebLinkAboutFILLED LAND AFFIDAVITA
#1
1, the undersigned, am the
for which I have applied t(
this Final Development pe
the above described propej
Land Development Code,
immediate community A]
granting this Permit for the
nor liable to providefor, oi
will not adversely affect th
Property'Owner Name
-coupay
91'LU-clic
SCANNED BUILDING & ZONING
BY 2300 VIRGNu AvENUF,
FORT PIERC9, FL 34982-5652
k L.Ucie County 772-462-1553
"FID
of the following described property:
-P � A
(Tax ]D/Legaldescripfionlj�d�&ess) �northeas�terl�y Of 1-95
St. Lucie County for a Final Development Permit. In accepting
it, BP Number 1 acknowledge that as owner of
.3m
ty, and in aceordance with Section 7.04101 (D), St. Lucie County
shall be responsible for assuring adequate drainage so that the
LL NOT be adversely affected. I finifier acinowledge that in
levelopment of this property, St. Lucie County is neither obliged
maintain in any form, adequate drainage Off my property which
immediate community.
Property Owner Signature Date
STATE OF FLORIDA. COUNTY OF I
S t L
ACKNOWLEDGED BEFORE ME TFUS DAY OF 2-04K -20L�
TMS
BY - Ma :the 0
IS PERSONALLY MOWN TO ME OR WHb HAS PRODUCED
S IDENTIFICATION.
1� a-S9
UGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
mw"O" (SEAL)
rARY PTJBUC. Tr'LE Notary ISSION NUMBER
Julie N
My C
Expires