HomeMy WebLinkAboutFilled Land AffidavitUILLAGE La NETTLES IS 40T2298103 12-26-95 23:15 P.10
ST. LUCIE COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
2300 YIRGINIA AVNN0E, R00l1 201
TORT rINKCa, rL 34922-5652
407-452-1553
FILLET, LANDS AFFIDAVIT
I, the undersigned, am the owner of the following described property,
(tax 0/1&gal demedp arl/addre-)
for which I have applied to St. Lucie County for a Final Development Permit. In accepting
this Final Development Permit, BP Number 9^ spa ag 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.
Ro6�c� w roNtJsor�/ W
• Data
PropeRy
Propony Owner Propeny
("10
STATE OF r+�taA. COUNTY or MaN do
THE FOREGOING INsTRUMENT WAs ACKNOWLEDGED BEFORE ME THIs �: DAY OF �In�G� • is
C31 iLi H G;-*fi— C A
0 IS PERSONALLY KNOWN TO ME OR WHO HA9 PRODUCED OR1 Jr �t 6 c � AS IDENTIFICATION.
SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
ROBERT L. FLAHERTY
C9 I F-�. 1d Yf7-ZCOMMISSION NUMBER NOTARY PUBLIC IN THE STATE OF
PU
NOTARYBuc TITLE _ i`'Ew YORil MONROE COUNTY N.Y.
Cc.... "`LION EXPIRES MAR. 30, 1.917.
SLCCDV FORM NO.: 011-00