HomeMy WebLinkAboutFILLED LAND AFFIDAVITST: I,iT�i)
2300VIRGMl AAVENIIE RECEIVED
FORT PIERCE, FL 34982-565
772-462-1553 JAN 2 9 2019
ST. Lucie County, Pe___ nm�€4inj
FIIL&D S` AAVI'r SCANNED
By
St. Lucie county
1. I the undersigned, am the Owner of the following described property:\3 R(tR Cocr�4(
#131-111-nnnl_n.nn/n.- Cw n. — ._ _
(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 - ' 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 further acknowledge that in
granting this permitfor 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.
Md he T 1a Tzynna
Property'Owner Name Property Owner Signature Date l
STATE OFFWRIDA. COUNTy OF St_ 'LllC7.P
ACKNOWLEDGED BEFORE ME.TTBS_DAYOF J ANTR2�20-0
BY Mat�W Tp�iynne WHOISPMSONALLYKNOWNTO ME OR WHO HAS PRODUCED
Q neMENTIRCAT�ION. p r
"
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SIGNATUREOFNOTARY TYPEORPRINTNAMEOFNOTARY
NOTARY PUBLIC TrrLE
'Mg DOROTHYANNBASKIN
MY COMMISSION#GG 030145
EXPIRES: Oclaber2,2020
6ondeo Ttuu Notary Public Unoerwntm
j'.
(SEAL)
COMMLSSION NUMBER