HomeMy WebLinkAboutFilled Land AffidavitST.'LUCIR COUNTY
BUILDING & ZONING
2300 VIRGINIA AVENUE
FORT PIERCE. FL 34982-5652
772-Z-1553
FILLED LAN- '- 8 AF-VIDAW- T
I, the un 6rsigned, am the owner of the following described property: �3a1�i� �rCo 1'1�
#13 — _
(Tax ID/Legal description/Address) northeasterly of I-95
for whico I have applied to St. Lucie County for a Final Development Permit. In accepting
this Fin Development Permit, BP Number ' , I acknowledge that as owner of
the abov described property, and in accordance with Section 7.04'01(D), St. Lucie County
Land De elopment 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 s permit for the development of this property, St. Lucie County is neither obliged
nor liabl to provide,for, or maintain in any form, adequate drainage off my property which
will not dversely affect the immediate community.
Owner Name Property Owner Signature Date
STATE OF - RIDA, COUNTY OF _ S t . Luc i
ACKNO GED BEFORE ME THIS DAY OF 2p I i
BY Ma t;NOTARY
aA
HO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
SIDENTIFICATION.
SIGNA E OF TYPE OR PRINT NAME OF NOTARY
(SEAL)
OOROTHYANN BASKIN
•i t+ My COMMISSION # 00 030146
EXPIRES; October 2, 2020
Bo°idedThruNotary Public QodowMto+e