HomeMy WebLinkAboutFilled Land Affidavit32195GG924
10/26/2007 10:27 32195E' 4 NANCY COOPER PAGE 01108
ST. LUCIE COUNTY
BUILDING & ZONING
..,
_
2300 VIRGINIAAVENUE
FORT PIERCE, FL 34982-5652
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FILLED LANDS AFFIDA.VTT
1• the undersigned, am the owner of the following described property:
! 3If •-'700 •- o Zoy-oao •--7 ,d4 1 si[4,4 q jt'218 r►'lAdCeua Sf- Ff Pre1Ce!
(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, SP Number St-C. c202 w 06-70 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.
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'Marohdo< Nom,es ?_nc. o-0 r(orC8a—
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Property Owner Name Property Owner Si4ature Date
SPATE OF FLORIDA. COUNTY OF Sern i no Ie,
ACKNOWLEDGED BEFORE ME THIS A DAY OF OC�obi!r 20-Q7,
$y , Mar V' -P• al - WHO IS P�� LY KNOWN TO ME OR WHO HAS PRODUCED
AS IDENTIFICATION.
S CGN/TUFZE OF NOTARY TYPE OR PRINT NAME OF NOTARY
NOTARY PAS Imo,TITLE (SEAL)
�� COMMISSION NUMBER
7Notary
B. FOREST
,'O•`�Y PLO*' ic State of FloridaMyn Expires Sep 30, 2009ion # DD 436272
Bonded By National Notary Assn.