HomeMy WebLinkAboutFILLED LAND AFFIDAVITST* LUCIZ COUNTY
BUILDING & ZO ?ING
. 2300 VIRGIl U AVENUE
FORT PIERCE; FL 34.982-5652
772462-1553
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T, the undersigned, am the owner of the following g described roe S�q r 1,
#1326-111—(lnnz_n.nn /n.' i� -p P rty: �A�lC2
(TaxID/Legaldescri00n/Ad*ess) northeasterly of I-95
for which I have applied to St. Lucie County for a Final Development Permit. In accepting
this Final Developmenti 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 L. I - be adversely of ected. I further acknowledge that in
granting this petmit 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 m property which
will not adversely affect the immediate corrirriunity. q g y P
Ma-tth �� T sl0 7 �1nr� 6 _r_ a
Property'Owner Name
Property Owner Signature Date
STATE OF FLORIDA; COUNTY OF_ 8 t _ �L uc
ACKNOWLEDGED BEFORE ME.TM O a DAY OF _T C72 20$
BY 2ne wHo IS PERSONALLY KNOWN TO ME OR WRO HAS PRODUCED
AS IDENTIFICATION.
SIGNATURE OF NOTA TYPE OR PRINT NAME OF NOTARY
NOTARY PUBLIC TITLE (SEAL)
Yp" DOROTHYANN BASKIN
• MY COMMISSION # GG 030145
'oc EXPIRES; October 2, 2020
Bonded Thru Notary Public Underwriters