HomeMy WebLinkAboutFILLED LAND AFFIDAVIT9T.' LUCID 'COUNTY
a NNE ]BUILDING & ZONING.
BY. 2300 VIRMIA AVENUE
Ltud e Comb/ FORT PIERCE; FL 34982-5652
772-462-1553
FILLF LA":, AIDAVTT
I; the undersigned, airs the owner of the following described property:
#1306-1��_cinn�_ .on/n;jv -4atha+- „„-t 1.tin
(Tax ID/Legaldescription/Address) . northeaster 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), 5t. Lucie County
Land Development Code, I shall be responsible for assuring adequate drainage so that the
immediate community WILL NOT 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.
Mat ch-ew r 7v_ a wyrnnc
Properly0wner Name
Property Owner Signature Date
STATE OF FWRIDA; COUNTY OF S t_ L u 1
ACKNOWLEDGED BEFORE ME.THIS _Le_DAY OF ___:IL.! �% 20
BY _Md t th W T..1L= W. n p WHO IS PERSONALLY KNOwN TO ME OR wH0 HAS PRODUCED
AS IDENTIFICATION.
SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
NOTARY PUBLIC TITLE (SEAL)
DOROTHYANN BASKIN
MY cOMMISSION # GG 030145
eQQ EXPIRES: October2,2020
'%; ;� Z� Boned Tnru Notary Public Underwriters