HomeMy WebLinkAboutFilled Land Affidavitf
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ST. LUCIE COUNTY
BUILDING & ZONING
F�ORIpP
2300 VIRGINIA AVENUE
FORT PIERCE. FL 34982-5652
561.462.1553
FILLED LANDS AFFIDAVIT
I, the undersigned, am the owner of the following described property:
13 20 � w-00CL kd ...
(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, 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 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.
'Dour 0cn-e' C-1 0 r C(• i l�
Property Owner Name Property Owner Signature Date
STATE OF FLORIDA, COUNTY OF S I• L U C l
ACKNOWLEDGED BEFORE ME THIS w DAY OF _ 1►91Uu P R 20 d (p
BY _iJr9dZ , �/V� GpR,(Jy1U-wiielspr:PtseWHO HAS PRODUCED
-p-R I u e'- L C CA-)S E_ AS IDENTIFICATION.
SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
NOTARY PUBLIC TITLE
STEPHEN A. WUYCHECK
MY COMMISSION #DD457696
EXPIRES: AUG 02, 2009
Bonded through 1st State Insurance
f')Q4S-76 f (tOMMISSION NUMBER (SEAL)
STEPHEN A. WUYCHECK
=�`r�'r\°�� MY COMMISSION #00457696
EXPIRES: AUG 02, 2009
�^ Bonded through 1 st State Insurance