HomeMy WebLinkAboutLombardo Filled Lands Affidavit ST. LUCIE COUNTY
BUILDING
ZONING
2300 VIRGINIA AVENUE
® FORT PIERCE,FL.34982-5652
a o 772-462-1553
FILLED LANDS AFFIDAVIT
I, the undersigned, am the owner of the following described property:
(,(Ait q7 (Tax ID/Legal description/Address) 15Y-'l A&c1 (�u to.�6Ush eil'2CIC
PAc m c/n- FL 3 S<99�
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 WIL L 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 —
ACKNOWLEDGED BEFORE ME THIS ''AY OF --44e?
BY LO Q WHO ONALLY IQdOW13 R WHO HAS PRODUCED
AS MENI'EICATION_
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SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
(BRAE)
NOTARY PUBLIC TITLE COMMISSION NUNTIER
.,F+ftm� Notary Public State of Florida
Lori A Moxley
_ My Commission GG 28010.8
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