HomeMy WebLinkAbout0804-0166 FILLED LAND AFFIDAVITa
�J�'1� COGy ST. LUCIE COUNTY
' BUILDING & ZONING SCANNED
k a 23M VIRGINIA AVENUE
FORT PIERCE, FL 349825652 BY
F�0R10p`. 661462-15ss
St Lucie County
FILLED LANDS AFFIDAVIT
I, the undersigned, am the own}err of the following described property:
LOT aq4CPxj nn
ff Inn o 1.�o�,
for which I have applied to St. Lucie County for a Final Development Permit. In accepting
this Final Development Permit, BP Number 6 -0 )6 i , I acknowledge that as
owner of the above described property, a.nd 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.
T_
Property Owner Name Property Owner Signature Date
STATE OF FLORIDA. COUNTY OF I e I l L L l vy
ACKNOWLEDGED BEFORE ME THIS
DAY OF A�X .
20 0 u
BY—�
i
WHO IS R NALLY KNOWN TO
OR WHO HAS PRODUCED
SIGNATURE OF NOTARY
NOTARY PUBLIC TITLE
iS IDENTIFICATION.
A �� d
t� TYPE OR PRINT NAME OF NOTARY
J� -7 % I OQOMMISSION NUMBER (SEAL)
q,�pl� !y A E DENEDIOS 11
MY COMMISSION # DD 731063
EXPIRES: November29, 2010
' Itf �tti' Based mru Notary Pubrio Undenfters