HomeMy WebLinkAboutFILLED LAND AFFIDAVITST:LUCM COUNTY
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2300 VIRG AVEN$,ECEIVED
BY FORT PIERCE; 34982-5652
St, twde 772-462- 553 J U L 2 62_0 s g
I ST. Lucie County, Permitting
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I, the undersigned, am the owner of #1the following described property: re s
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9 �,ln
(Tax ID/Le al descri tion/Address—
g P ) northeasterly 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 1VOT- 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 community.
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Matthgc�
Property'Owner Name
Property Owner Signature Date
STATE OF MoRmA, COUNTY OF
ACKNOWLEDGED BEFORE ME.TM G Q DAY OF 201,�
BY _N!d tth _w ' T 1 i nn p WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
AS IDENTIFICATION.
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SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
NOTARY PUBLIC TITLE (SEAL)
COMMISSION NUMB
OOROTHYANN BASKIN
M't CoNwISSION # GG 030145
.i( EXPIRES: October2,2020
Bonded Thru Notary Public Under" rs
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