HomeMy WebLinkAboutFilled Land AffidavitCOGy
ST.
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LUCIE COUNTY
BUILDING & ZONING
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R IA AVENUE
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FORTRT P PIEERCEE,, FL 349e2-5652
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21553
FILLED LANDS AFFIDAVIT
I, the undersigned, am the owner of the following described property:
2 Oy I s . o c , p2but — 667 71fsue► rBc41
(Tax ID/Legal description/Address)
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.
Property Owner Name Property Owner Signature Date
STATE OF FLORIDA, COUNTY OF S L U G(ei
ACKNOWLEDGED BEFORE ME THIS / DAY OF �/ , 200 1
BY 1�05?10 /l/01y1 f</Y//I o cif WHO PERSONALLY KNOWN TOME OR WHO�HASOD D
AS IDEN
SIGNATURE OF NOTARY lie
MC�EM@tOR•PR T NAME OF NO AT RY
ICY COMMISSION N DD 741198
EXPIRES; December 11, 2011 (SEAL)
NOTARY PUBLIC TITLE@6fldM"tUNotervPubkUndenvritrm0 ISSION NUMBER