HomeMy WebLinkAboutWS Lot 3 - Filled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
Kevin Borkenhagen
(Parcel Idlt/Legal description/Address)
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 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.
KEVIN BORKENHAGEN
Property
STATE OF FLORIDA, COUNTY OF PALM BEACH
:l 'a3i
Date
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ACKNOWLEDGED BEFORE METHISawDAY OF
BY KEVIN BORKENHAGEN WHO IS PERSONALLY KNOWN TO MC CO) OR WHO HAS
P DUCED
SIGNATURE OF NOTARY PUBLIC
GG 149183 COMMISSION NUMBER
SLCPDSD Revised 04/I1/201 I
IDENTIFICATION.
Kathleen F. Ingersoll
TYPE OR PRINT NOTARY
••""'�h, KATHLEEN F.INGERSOLL
29E
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