HomeMy WebLinkAboutFILLED LAND AFFIDAVITST:.I;UM COUNTY
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CEI�
2300 ViRGMUA
FORT P BRCg; PL 382
772-462 155 1
ST. Lucie county.
M&t AP
I, the undersigned, am the owner of the following described property.
#1306-111 Ilnn, nnn/n ti/� AA 40 _I I
(Tax
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 - '
the above described rc I acknowledge that as owner of
p perty, 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 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 community.
Ma he r--�
Property-Owner Name Prope rty Owner Signature Date
STATE OPROPMA, COUNTY OF
ACKNOWMaMBEFOREM6.TM DAYOF J A n+•-t /f7Ly 20
BY tatp`v�
_ thT7 n—n�P—wHOIS.pERSONALLY KNOWN TO M60RWHO HAS PRODUCED
IDENTIFICATION.
�O.Qa-rNti! H-s�N /UASKrN
SIGNATUREOFNOTARY. TYPE OR PRINT NAME OFNOTARY
NOTARY PUBLIC TITLE (SEAL)
COMMISSION NUMB
aye, OOROTHYANN BASKIN
MY COMMISSION# GG 030145
<' EXPIRE$: October 2,2020
' :�` Bonded Thru Notary PUNIC Urdemiteis