HomeMy WebLinkAboutFilled Land Affidavit��L�E CpG ST. LUCIE COUNTY
BUILDING & ZONING
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
F�ORIOp'.. 462-'SW
FILLED LANDS AFFIDAVIT
I, tthe
� undersigned, am the owner of the following described property:
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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.
R 4-ts �� Q '-e,r% r '<-
Property Owner Names
STATE OF FLORIDA, COUNTY OF
T-i= & y-Owner Signature_: Date
ACKNOWLEDGED BEFORE ME THIS o DAY OF (I6, , 200;
BY .44 nW& r WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
�� ` °Y� ` �-L •U AS IDENTIFICATION.
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IGNATU F OTARY dC'—'y <V- 9%j/-/r—w7
TYPE OR RNT NIE OF NOTARY
NOTARY PUBLIC TITLE COMMISSION NUMBER (SEAL)
AUDREY B. HUMPHREY
_* *_ MY COMMISSION # DO 190387
o= EXPIRES: March 6, 2007
Bonded Thru Notary Public Undenmters