HomeMy WebLinkAboutFILLED LANDS AFFIDAVITST. LUCIE COUN7�`'Y�_ Fti�CCIvE®
IBUILDING & ZONI1vG
FORT PIER jjq'm 49 2 S E P 2� . V
772-482-1553 ST. Lucie County, Permitting
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I, the undersigned; am the owner of the following described property: S-\ � 2
#1 3.01 —1 11 -0001 —nnn- , f raGt � n F GA,,.f i n�_t014nSbj_ 3dS .Range
(Tax M/Legaldescdption/Addre$s)lying N&W of Turnpike
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 filirther-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 - Tjjn j *e
ACK;NOWLEOGEO BEFORE WE THIS _ DAY OF C7"T� )AC-X , 2of
BY*_r�_Awjot\g_r 1 WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCHD
AS MENTIFICATION.
LLAaV_,,4 a,� &
SIGNATURE OF NOTARY
NOTARY PUBLIC TrrLE
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TYPE OR PRIN'r NAME OF NOTARY
otSpN MIp1l HYANN BASKIN
¢; MY COMMISSION # GG 030145
EXPIRES; October 2, 2020
Bonded Thru Notary Public Underwriters .
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