HomeMy WebLinkAboutFilled Land AffidavitCp ST. LUCIE COUNTY
�JL�E
' �•�t BUILDING & ZONING
2300 %RGINIA AVENUE
•
't FORT PIERCE. FL 34962S652
'cIORtOp . 462-1653
FILLED LANDS AFFIDAVIT
1, the undersigned, am the owner of the following described property:
Ire_ 2 /1 ex 5 - / I--� • P'e e-ce- , �r ( 3 Y '? y(
for which I have applied to St. Lucie County for a Final Developm(
this Final Development Permit, BP Number D aQ 5 -01 15
owner of the above described property, and in accordance with
Lucie County Land Development Code, 1 shall be responsible
drainage so that the immediate community WILL NOT be advei
acknowledge that in granting this permit for the development of
County -is neither obliged nor liable to provide for, or maintain
drainage off my property which will not adversely affect the immE
;_i �C ReC A V Garr?
Property Owner Name
it Permit. In accepting
I acknowledge that as
�ection 7.04.01(D), St.
or assuring adequate
ely affected. I further
nis property, St. Lucie
i any form, adequate
iate community.
.s // sloe
Property Owner Signature''11 Date
STATE OF FLOR)DA, COUNTY OF- Zr / VA4_A_QJ
ACKNOWLEDGED BEFORE ME THIS ` 6 DAY OF 20 Cd
BY�l 1 J IT l • , WHO IS PERSONALLY MOWN TO ME OR WHO HAS PRODUCED
1All , L W.�F,0 ml�
SIGNATURE OF •RY
NOTARY PUB _IQ TITLE
TYPE OR PRINT NAME OF
COMMISSION NUMBER
ELORIEA.GER STEMEIER
XCP1 MISSION # DD 514317
......I Bondod ES; February 14, 20 ThN No�T Public 10 Underwriters
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S.
(SEAL)