HomeMy WebLinkAboutFILLED LAND AFFIDAVITi
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BY
Sit , Wd'e county
-ST. LUCIE COiJNTY
LJII:DING & ZONING
2300 V1RQt-q?A AVENUE
FORT PIERCE;; FL 34982-5652
77242-1553
RECEIVED
APR 214 2016
Permitting Departmenr
St. t.uaL, County
nck S
1, the undersigned, am the owner of the following described property: "y�,Q�\��•
n t'-f i nn I -township -34.1.Range 39E,
(Tax ID/Legat descriptionPAddrets)lying N&W of Turnpike Feede
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 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.
Property Owner Name
Property Owner Signature 'Date
STATE OF FLORIDA, COUNTY OF,S T. i .. i .P
ACKNOWLEOGEO BEFORE ME THIS ;:L DAY OF
13Ye A—lNh� ���� WHO iS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
AS IDENTIFICATION.
SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
(SEAL)
NOTARY PUBLIC TITLE COMMISSION NUMSER
DOROTHYANN BASKIN
MY COMMISSION # GG 030145
EXPIRES: October 2, 2020
Bonded Thru Notary Public Underwriters
51