HomeMy WebLinkAboutFilled Land Affidavitl
JV �U ST. LUCIE COUNTY
-,
BUILDING & ZONING
e 2300 VIRGINIA AVENUE
F ' FORT PIERCE. FL
�ORID
FILLED LANDS AFFIDAVIT
1, the undersigned, am the owner of the following described property_
9 Ai. tAS " / pt.
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 i 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 Owner Signature Date
STATE OF FLORIDA. COUNTY O ,
ACKNOWLEDGED BEFORE ME THIS DAY OF 6 20 v �!
B `T v� ✓%%_WHO 13 PERSON NOWN O ME OR WHO HAS PRODUCED
AS IDENTIFICATION..
SIGNATURE OF
TYPE OR PRINT NAME OP NOTARY
NOTARY PUBLIC TITLE (SEAL)
COMMISSION NUMBER
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