HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34992-5652
(772)462-1553
FILLED LAND AFFIDAVr
MAR 2 6 °9"9
'9T, I,uele County, Permitting
I, the undersigned, am the owner of the following described property,
Id#/Legal
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
7.04.0I(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.
KEVIN BORKENHAGEN
Property Owner Name (Please Print)
XProperty Owner Signal v Dat�-
STATE OF FLORIDA, COUNTY OF PALM BEACH
ACKNOWLEDGED BEFOREMETHIS 3''r'L DAY OF MAA,✓!/Itii .20-2.0
BY KEVIN BORKENHAGEN WHO IS PERSONALLY KNOWN TO ME MORWHOHAS
PRODUCED AS IDENTIFICATION,
KEVIN WIRTH
SIGN ' U? OPNOTARY PUBLIC TYPE OR PRINT NOTARY
GG917671 COMMISSION NUMBER
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($�•: NataryPublictate of Florida
!,t $EAt�mmisslon: GG 917671
n: My Comm. Expires Sep 29, 2023
Banded through National NotaryAssn.
SLCPDSD Revised 04/1 U2011