HomeMy WebLinkAboutFilled Land AffidavitST. LUCIE COUNTY
+ y BUILDING & ZONING
a 2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
�ORlO�' 462-1553
FILLED LANDS AFFIDAVIT
1, the undersigned, am the owner of the following described property:
for which I have applied to St. Lucie County for a Final Development Permit. In accepting
this Final Development Permit, BP Number DSD 3 —Da2,22, 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.
r I * -
Property Owner Name Property Owner Signature Date
STATE OF FLORIDA, COUNTY OF
ACKNO LEDGE BEFORE ME THIS WZ DAY OF . 2d6
BY z� WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
AS IDENTIFICATION.
4a&e�e, _�) /,sd u eC . L,� .J L
SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
NOTARY PUBLIC TITLE COMMISSION NUMBER (SEAL)
DIANE R. FLANIGEN
3MY COMMISSION # DD 47881
-2 EXPIRES: October 16,'2009
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