HomeMy WebLinkAboutFilled Land Affidavit4S 110111
ST. LUCIE COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
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2300 viR=Xk AVn , Roots 202
rokr Pmc=, n 3/1i2-5652
407-462-1553
FILLED LANDS AFFIDAVIT
I, the undersigned, am the owner of the following described property, 01
6W'0'cK ao
Ou ID/IeBel description/address)
for which 1 have applied to St. Lucie County for a Final Development Permit. In accepting
this Final Development Permit, BP Number OA5 / / , (") / / / . 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.
ProPaKy Owner Props rI Date
STATE OF FLORIDA, COUNTY OF tt- k
THE FOREGOING INSTRUMENT WAS ACKNOWLEDGED BEFORE ME THIS 1 DAY OF
WHO PERSONALLY IQJOWN TO ME WHO HAS PRODUCED AS IDENTIFICATION.
NOTARY PUBLIC TRLB
TYPE OR PRINT NAME OF NOTARY
COMMISSION NUMBER
f ' Notary Public, We of Fladde
Cono dWan fx*es New. 18, 1993
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1; , ;` . SU= FORM NO.: MI-00