HomeMy WebLinkAboutFILLED LANDS AFFIDAVITST. LUM cot NTY
WJl LDOW * & ZONING
2300 V1RQJq :A AVENUE
FORT PIERCE; FL 34982-5652
772-462-1553
,SCANNED
BY
St. LucieG®anty
I, the undersigned; am the owner of the following described property:%
#1 301 _1 11 —nnn7 _nnn_s- Fact 1 of gmpt-i nn 4 to ya
n_�h_;_n 34 .Range 39E,
(Tax ID/Legat description/AAddress)Zying N&W of Turnpike Feede
j 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, T shall be responsible for assuring adequate drainage so that the
immediate concimunity 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 pro.vide'for, or maintain in any form, adequate draf rage off my property which
will not adversely affect the immediate community.
1/- �- - ■ a- �ino •7 -
Property Owner Name
Property Owner Signature 'Date
STATE OF FLORIDA, COUNTY OF . St T. i r� i to
ACKNOWLEOGEO BEFORE ME THIS DAY OF sr , 2oa,
WHO IS PERSONALLY KNOWN TO MS oR WHO HAS PROOUCEO
AS IDENTIFICATION.
SIGNATURE OF NOTARY
NOTARY PUBLIC TITLE
TYPE OR PRDN NAME OF NOTARY
(SEAL)
COMMISSION NUMBS
OTHYANNBASKIN
"`•' MY COMMISSION # GG 030145
EXPIRES: October 2, 2020
Bonded Thru Notary Public Underwriters
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