HomeMy WebLinkAbout0707-0159 FILLED LAND AFFIDAVITST. LUCIE COUNTY
�< BUILDING & ZONING
r 2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
F�ORIUP 462-1553
FILLED LANDS AF
I, the undersigned, am the owner of the following d
1 \-e ,M , F ,,tea f S 6 21 .01 40 0 0 6C�G
(Tax ID/Legal description/Address)
for which I have applied to St. Lucie County for a Final
this Final Development Permit, BP Number SLC d'
owner of the above described property, and in accorc
Lucie County Land Development Code, I shall be n
drainage so that the immediate community WILL NO
acknowledge that in granting this permit for the devel
County -is neither obliged nor liable to provide for, o
drainage off my property which will not adversely affec
_Ken ) heRI�4_11 1 �
Property Owner Name
STATE OF FLORIDA. COUNTY OF
NNED
BY
9L stu do0hint,
DAVIT
bed property: 1 0043o S 0 eeoI r
67
development Permit. In accepting,
0701S4 , I acknowledge that as
ance with Section 7.04.01(D), St.
:sponsible for assuring adequate
r be adversely affected. , I further
:)pment of this property, St: Lucie
maintain in any form, adequate
t the immediate community.
i
Property Owner Signature
ACKNOWLEDGED BEFORE ME THIS 2-0 DAY OF V L4 1,
BY
WHO IS PERSONALLY
AS IDENTIFICATION.
Gl
SIGNATURE OF NOTARY TYPE OR PRINT I
NOTARY PUBLIC TITLE V%44 COMM
Vyrvp GLENI
MY
�%F PAP
(407)390-0153
Date
,20Q
VN TOME OR HAS PROD D
�'�g0 t"N rA 1�tC iG
E OF NOTARY
(SEAL)
N NUMBER
RUTH GREGORY•PALACIO
:)MMISSION # DD428948
XPIRES: May12,2009
Florida Notary service.com