HomeMy WebLinkAboutFilled Land AffidavitST. LUCIE COUNTY
BUILDING & ZONING
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
772-462-1553
FILLED LANDS AFFIDAVIT
I, the undersigned, a the owner -of of the foil ' wing described property:
a0l'� ►1 uV �o,.�,a_L �n �, i W 496 (PP5 009LO --ocxs - o
(Tax ID/Legal dwription/Address)
for which I have applied to St. Lucie Count), for a Final Development Permit. In accepting
this Final Development Permit, BP Number OS DIo -D / y% I acknowledge that as owner of
the above described property, and in accord nce 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 ad�ljersely 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 �orm, adequate drainage off my property which
will not adversely affect the immediate colr}munity.
IL
Property Owner Name Pop Irty Owner Signature Date
STATE OF FLORIDA, COUNTY OF 0y r-Gc�
ACKNOWLEDGED BEFORE ME THIS 2 .9 DAY O� 24
BY �^ iC / Y �L(/ ozdzez:z _WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
1 w vuik/ AS IDENTIFICATION.
se2llvy 14-
SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
/ (SEAL)
NOTARY PUBLIC TITLE 7 U � COMMISSION NUMBER
" Shirley A. Riall
`. Commission # DD462759
Expires September 28, 2009
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