HomeMy WebLinkAboutFilled Lands AffidavitST. LUCIE COUNTY
BUILDING & ZONING
2900 VMQNIA AVENUE
FORT:. POLE FL 9a992-5952
561�624M
FILLED LANDS AFFIDAVIT
1, the undersigned, am the owner of the following described property;
Oooi-bOo'y,
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.
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Property Owner Name Property Owner Signature Date
STATE OF FLORIDA. COUNTY OF AAnn// L
ACKNOWLEDGED BEFORE ME THIS DAY OF R.Le—') • 20_ , 3
BY WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
AS IDENTIFICATION.
BAUM F. KAM wri l�^ � � � --a J � • �Z� a ��
SIGNATURE OF NOTARY TYPE OR PRINT NAME OF.NOTARY
NOTARY PURL±C TITLE COMMISSION NUMBER (SEAL)
BARBARA F. KAMINSKI
µ = MY COMMISSION W CC 999821
tS'• f,' a EXPIRES:June 7,2005
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