HomeMy WebLinkAboutFilled Land Affidavit10/2G/2007 10:27 32195GI5?d NANCY COOPER
PAGE 03/08
�JL1� BOG ST. L.UCIE COUNTY
BUILDING & ZONING
2000 VIRGINIA AVENUE
" FORT PIFPzcE FL 34902.5 2
F<ORIOp` 581.4;2.1553
FILLED LANDS A FFID,A.
1, the undersigned, am the owner of the following described
pe rty_
J'rZ lLl M.A nrC S�F O Sf'
(Tax ID/Legal description/Address)
for which I have applied to St. Lucie County for a Final Develops
this Final Development. Permit, BP Number st q o-tpq _ cc ll
owner of the above described property, and in accordance wit
Lucie County Land Development Code, I shall be responsib
drainage so that the immediate community WILL NOT be ad%
acknowledge that in granting this permit for the development
County is neither obliged nor liable to provide for, or mainta''
drainage off my property which will not adversely affect the imr
r+ .9'. ru:1VC. 3411SI
vent Permit. In accepting
, l acknowledge that as
h Section 7.04.01(D), St.
e for assuring adequate
ersely affected. I further
)f this property, St. Lucie
n in any form, adequate
Iediate community.
Ay
VYI w6fi da tld mej tnc, a Fldri 4
Property Owner N& e Property 6wner Si atu e Date
STATE OF FLORIDA, COUNTY OF c5't'tN j»A 1e_
ACKNOWLEDGED BEFORE ME THIS 2�0 � OAY OF _. 0L' �OfJ�/ .20
SY Ark -P.• r4jar WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
AS IDENTIFICATION.
C% ne toesi
IG ATURE OF NOTARY TYPE OR PRINT NAME OP N
N0TITLE DID '13 Z Z COMMISSION NUM
Notary
Bonded
tY
(SEAL)
EB.FOREST
Ac - State of Florida
m Expires Sep 30, 2009
lion # DD 436272
National Notary Assn.
0