HomeMy WebLinkAboutFilled Land Affidavit�JL�E CpG 7.
& N NG
S 2300VIRGINIAAVENUE
s FORT PIERCE, FL 34962-5652
• F�ORIp� • 462-1553
FILLED LANDS AFFIDAVIT
I, the undersigned, am the owner of the fdllbwin�q described operty:�`.
7� �3 -� �cc e�� 7L .;/3
(Tax ID/Legal description/Mid)1
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.
PropertyOwner Name Property• Date
STATE OF FLORIDA, COUNTY OF �f C�
ACKNOWLEDGED BEFORE ME THIS ! DAY OF
BYgf�LG� �'�l (/lLuiJ WHO IS PERSONALL OWN O ME OR WHO HAS PRODUCED
AS IDENTIFICATION.
(SEAL)
NOTARY PUBLIC TITLE COMMISSION NUMBER
AUDREY B. HUMPHREY
MY COMMISSION # DD 6M7
a EXPIRES: March 6, 2011
Bonded Thru Notary Public Underwriters
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