HomeMy WebLinkAboutFilled Land AffidavitST. LUCIE COUNTY
BUILDING & ZONING
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
772-462-1553
FILLED LANDS AFFIDAVIT
undersigned, am the owner of the following described property:
b 2426- /33 -600/- 600-6 /Sva 2-6 , Qa-35, 746T 1/0, T3
(Tax ID/Legal description/Address)
3Y15 ,Soa-rlt 91v,5p.-DRIvE, jCok-r 1019,46E FZ,9kiDA 34g7q
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.
Property Owner Name
STATE OF FLORIDA,COUNTY OF �---W-C-t -
Owner Signature
ACKNOWLEDGED BEFO THIS DAY OF Zant— 204 1,
BY ►�01� GLY ` WHO IS PERSONALLY KNOWN TOME OR WHO HAS PRODUCED
AS IDENTIFICATION.
SIG ATURE OF TARY TYPE OR PRINT NAME OF NOTARY
NOTARY PUBLIC TITLE
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