HomeMy WebLinkAboutFilled Land AffidavitGCE. �O
ST. LUCIE COUNTY
�J ley
BUILDING & ZONING
40
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2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
F�!02
561462-1553
FILLED LANDS AFFIDAVIT
I, the undersigned, am the owner of the following described property:
(Tax IDlIjgal description/Addtess)
for which I have applied to St. Lucie County foMO
inal Development Permit. In accepting
this Final Development Permit, BP Number Rv OSgq, 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.
Property Owner Name Property Own r i ature Date
STATE OF FLORIDA, COUNTY OF�
ACKNOWLEDGED BEFORE ME THIS DAY OF
BY� WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
AS IDENTIFICATION.
All A.Z.4— _PA4jr_;'_ ;" - , q. 0,
SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
NOTARY PUBLIC TITLE 7?b_ft4W9COMMIssI0N NUMBER (SEAL)
Patricia A Cordie
My Commission DD320448
y Fd' ��f res June 14, 2008
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