HomeMy WebLinkAboutFILLED LANDS AFFIDAVITSST. LUCIE COIUNTY ECEIVE®
n U. LLDING & Z �
2300 WROn-41A A M
FORT PIERCE; FL 34�82=5ALACounty, permitting
772-462-1553
BY
St Lucie CoUnty
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a the owner of the following described property:
)n-S; F-AAf 1 nrF. RAr•Finn 1--oGanshi}—�S .Range 39
(Tax ID2egaldescripciooiAddress)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 Rutherr-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 OFFLOR)AA, COUNTY OF_,.i- _ Tjje i'e
ACKNOWLEOGEO BEFORE ME TFUS _ OAY OF Stl�T�7n��?t , 20 L S
BY�sWho
1-
4\*-� WHO IS PERSONALLY ifNOWN TO ME OR WHO HAS PRODUCED
W
I
SIGNATURE OF •
NOTARY PUBLIC TITLE
AS IDENTIFICATION.
TYPE OR PRIWr NAME OF NOTARY
(SEAL)
DOROTHYANN BASKIN
p b'` MY COMMISSION # GG 030145
EXPIRES: October2,2020
Bonded fire Notary Public UndeWlers