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HomeMy WebLinkAbout0801-0392 FILLED LAND AFFIDAVIT�JL�E CMG ST. LUCIE COUNTY BUILDING & ZONING a SCANNED MOO VIRGINIA AVENUE FORT PIERCE, FL 34962-5652 • F�O�`O>� • BY -462-1553 S LUNS COUnfiv FILLED LANDS AFFIDAVIT i I, the undersigned, am the owner of the following described property: for which I have applied to St. Lucie County for a Final Development Permit. In accepting this Final Development Permit, BP Number S L11-0er 1- 039 A , 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. ,I Property Owner Name Property Owner Signature Date I STATE OF FLORIDA. COUNTY OF I ACKNOWLEDGED BEFORE ME THIS _DAY OFF�! / .2003 BY / /�'L I ✓IG� "l WHO IS P SONALLY K N TO ME OR WHO HAS PRODUCED AS IDENTIFICATION. Ame 0 &aoll)l SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY \ r � NOTARY PUBLIC TITLE U b FMVS COMMISSION NUMBER (SEAL) ...........ANNE M. CZERWINSKI .r r MY COMMISSION # DD 385905 �•.€ EXPIRES: January 12, 2009 '�,RP' Bonded Thtu Notary Public Underwriters ST. LUCIE COUNTY BUILDING, & ZONING 8 �OR`Q>� 23DO VIRGINIA AVENUE FORT PIERCE, FL 34962-5652 462-1553 FILLED LANDS AFFIDAVIT I, the undersigned, am the owner of the following described property: ,,f 6 , --4—' V`S -� — for which I have applied to St. Lucie County for a Final Development Permit. In accepting this Final Development Permit, BP Number; 5 LC.- 0$01 - ©34a , 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. Property Owner Name Property Owner Signature Date STATE OF FLORIDA, COUNTY OF S / _ X/J I L! V Y v ACKNOWLEDGED BEFORE ME THIS DAY OF BY '�' % Y /Q�� L�WHO IS P NAL N TO ME OR WHO HAS PRODUCED AS IDENTIFIC , SIGNATURE OF NOTARY NOTARY PUBLIC TITLE Anp� In Z1-7enor1 TYPE OR PRINT NAME OF NOTARY � c OMMISSION NUMBER (SEAL) a+� ei'•• ANNE M. CZERWINSKI qt MY COMMISSION # DD 385905 :, es EXPIRES; January 12, 2009 bonded TAru Notary PUbllo Underwriters