HomeMy WebLinkAboutFilled Land AffidavitST. LUCIE COUNTY
BUILDING & ZONING
v 23DO VIRGINIA AVENUE
' FORT PIERCE, FL 349825652
F�OR10� • . 462-ISM
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FILLED LANDS AFFIDAVIT
I, 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 . 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.
Sri ���_'G_a. 2✓,�' �'.!G-off
Property Owner Name Property Owner Sigriature Date
STATE OF FLORIDA. COUNTY OF �� • kip 10
ACKNOWLEDGED BEFORE ME THIS i t p DAY OF , 200U
BY STI=.� A E tJ V3 , �L G WHO I ERSONALL KNOWN TO ME OR WHO HAS PRODUCED
- k0u&L' � -
SIGNATURE O OTARY
NOTARY PUBLIC TITLE
IDENTIFICATION-
TYPE OR PRINT NAME OF NOTARY
'02 5 I ✓.O OMMISSION NUMBER
a,V/o WENDY S. MACHEN
* * MY COMMISSION # DD 5164%
EXPIRES: May 10, 2010
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