HomeMy WebLinkAboutFilled Land Affidavit RECEI`.'D MAY 14 2015
ST. LUCIE COUNTY
I�I. BUILDING & ZONING
11 i 2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
772-462-1553
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FILLED LANDS -AFFIDAVIT
1, the undersigned, am the owner of the following described property:0�q
#13 —1 1 1 —(](lOi —�flt7—�,; East 3 of 13L -inn 1 tnuwnshi 1 34S Range 39E,
I (Tax IDII..ega1 descriptiontAddress)lying N&W of Turnpike Feeder
j 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 Secti n 7.O4.O1(D), St. Lucie County
Land Development Code, I shall be responsible for assuri 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 ainage off my property which
will not adversely affect the immediate community.
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Property Owner Name Pr pe y kner Signature Date
STATE OF FLORIDA,COUNTY OF S t7 _/(Tai c-i P
ACKNOWLEDGED BEFORE.ME THIS 7 f DAY OF 20 I„�
BY WHO IS PERSONALLY KNQWNTO ME OR WHO HAS PRODUCED
AS IDENTIFICATION.
SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
(SEAL)
NOTARY PUBLIC TITLE
DOROTHY ANN BASKIN
Notary Public-state of Florida
•c My Co,nm.Expires Oct 2,2016
F' Commission#FF 015226
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°' �` Bonded Through National Notary Assn.
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