HomeMy WebLinkAboutFilled Land Affidaviti
ST. LUCIE COUNTY
- y�c BUILDING & ZONING
a 23DO VIRGINIA AVENUE
' FORT PIERCE, FL 34962-5652
��ORIOP 462-1553
FILLED LANDS AFFIDAVIT
I, the undersigned, am the owner of the following described property:
{- 01"erce 3�i y �P
for which I have applied to St: Lucie County for a Final Develop Went Permit. In accepting
this Final Development Permit, BP Number D 5 N Q 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
STATE OF FLORIDA. COUNTY OF
Property Owner Signature Date
ACKNOWLEDGED BEFORE ME THIS DAY OF , 2&
BY
\\r I— -^�N,, WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
lN�S 1� �G7 O[�/16J^
AS IDENTIFICATION.
NOTARY PUBLIC TITLE
"?A_ A- G . tes .ewe r-J
TYPE OR PRINT NAME OF NOTARY
(SEAL)
COMMISSION NUMBER
A, gERSTEMEIER
MY COMMISSION # bb 514317
EXPIRES; FOka
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