HomeMy WebLinkAboutFILLED LANDS AFFIDAVITi
ST:'LUCI COUNTY
BUILDING & ZONING
2300 VIRGD.aA AVENCIE
FORT PIERCE; FL 34.982=5652 SCANNED
772-462-1553Y
M. URN
FILLE L-A"AVVItDAYIT
I, the undersigned, am the owner of the following described property: (9�2
#1 306-11 1-nnni _nnn /n i" _ _ _ _
(Tax ID/L.egaldescriptiOn/Address) 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 S. -07 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 coi in munity.
Matthe[7 T 1 a ■Tynnp — ZS
Properly'Owner Name
Property Owner Signature Date
STATE OF FLORmA; COUNTY OF,
ACKNOWLEDGED BEFORE METHIS DAY OF 20L$
BY Matthew • T �r 7 P . yr n P VMO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
AS IDENTIFICATION.
D0REO--q y 142VN ARS���
SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
NOTARY PUBLIC TrME (SEAL)
COMMISSION NUMBER
DOROTHY ANN BASKIN
,= MY COMMISSION #? GG 030145
qrc EXPIRES: October 2, 2020
FOF Fro. Bonded Th. Notary Public Under tiers