HomeMy WebLinkAboutFILLED LAND AFFIDAVITST. LUCIE COUNTY
BUILDING & ZONING
H 2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982.5652
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FILLED LANDS AFFIDAVIT
I, the undersigned, am the owner of the followin described property:
Y
(Tax ID/Le I escription/Address)
for which I have applied to St. Lucie County for -a- a Final Development Permit. In accepting
this Final Development Permit, BP Number 050q-p3LI3 , 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.
Ar-�-
Property Owner Name Property Own i ature Date
STATE OF FLORIDA, COUNTY O
Q01
ACKN LEDGED BEFORE44E THIS DAY OF 20
BY WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
AS (DENT ATION.
4�ef ` / , 0-'to'e6l
SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
(SEAL)
NOTARY PUBLIC TITLE COMMISSION NUMBER
.00Patricia A Cordie ap+►"r • Patricia A Cordie
`F My Commission DD320448 My Commission DD320448
%or ad; Expires June 14, 2008 o. tid'p Expires June 14, 2008