HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34992-5652 RECEIVED
(772)462-I553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
MAR 3 0 2920
ST. Lucie County, Permitting
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 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
y Property Owner Name ei4in
"Property Owner Signat a Date 3
STATE Or•FLORIDA, COUNTY OF PALM BEACH
ACKNOWLEDGED ➢E•rORr ME THIS r3VOL DAY OF M.awk. .20,2�—
BY KEVIN BORKENHAGEN WHO IS PERSONALLY KNOWN TO ME( bOR WHO HAS
PRODUCED AS IDENTIFICATION.
SIONAT AE OPNOTAR PUOLIC
OG917671 COMMISSION NUMBER
SLCPDSD Revised 04/112011
KEVIN WIRTH
TYPE ORPRINT NOTARY
KEVIN WIRTN
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