HomeMy WebLinkAboutFILLED LAND AFFIDAVITSCANINtU
N rEr
t' e0'U"'N'TY
ILDING &ZONING
2300 �IRGINIA AVENUE
IRT PIERCE, FL 34982-5652
561-462-1553
FILLED ANDS AFFIDAYIT
1, the undersigned, am the owner o the following described property:
4-11kciled wl'el-rell7lq Zeed
for which I have applied to St. Lucie
this Final Development Permit, BP
owner of the above described prop
Lucie County Land Development ,
drainage so that the immediate coi
acknowledge that in granting this p
County is neither obliged nor liabI
drainage off my property which will
C
Property Owner Name
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFORE ME THIS
BY I?C�e-1-1 /?'
OF NOTARY
NOTARY PUBLIC TITLE
.ounty for a Final Development Permit. In accepting
lumber 7-6h , I acknowledge that as
!rty, and in accordance with Section 7.04.01 (D), St.
ode, I shall be responsible for assuring adequate
imunity WILL NOT be adversely affected. I further
!rmit for the development of this property, St. Lucie
to provide for, or maintain in any form, adequate
ot adversely affect the immediate community.
Property Owner
WIN
Y OF. e r- 2P 0r
0
0 -"?o 0,57
Date
WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
IDENTIFICATION.
TYPE OR PRINT NAME OF NOTARY
COMMISSION NUMBER
"Sy pel
KATHRYN 1. LEONARD
MY COMMISSION # DD 217183
i'*e IF �tV EXPIRES: July 12,2007
14300-3-NOTARY FL Notary Discount Assoc. Co.
(SEAL)