HomeMy WebLinkAboutFILLED LAND AFFIDAVITST. LUCIE cOUNTY
(��i� BUILDING & ZONING
®A_ • �+ W 2300 VIRGWIA AVFKUE
' UU9 FORTPIEWGE F; *025552
FILLED LANDS AFFIDAVIT
I, the undersigned, am the owner of the following described property:
—aoo / — 000%(, 11
(Tax IDlLegal descriplipnlAddress)
for which I have applied to St. Lucie County for a Final Development Permit, In accepting
this Final Development Kermit, BP Number of - o 185 fit,,. I acknowledge that as
owner of the above described property, and in accordance with Section 7.04.01(0), St.
Lucie County Land Development Code, 1 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 / �/ W _ )44C
ACKNOWLF-DGED BEFORE ME THIS -DAY OF
DY dL4.)e ' �f,(Nf✓` k WHO is PER O LY MOWN TO ME R WHO HAS PRODUCED
AS 10FENTIFICATION.
QzW!, 2
Cyn�hl- - L , Vila N z
SIG TURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
CYNTHEA L. WALTZ
174
MY COMMISSION # DD 160202
'✓hi V EXPIRES: October 22, 2006
or
t-80o-3-NOTARY FL Notary Service &0onding• Inc.
r4oTARY . P►.16LIc 'nTLE
M I COMMISSION NUMBER
Z0 39dd 00 Mon-i is 9ELZZ9bZLL 8b:0t 900Z/E0/10
C ST. LUCIE COUNTY
"$ BUILDING &ZONING
zaoa vlRarnq aVENUIE
FORT P)M9. FL2499255M
'� -062-1563
FILLED LANDS AFFIDAVIT
1, the undersigned, am the owner of the following described property:
(T= wiLeaal dew iption/Address) !
for which I have applied to St. Lucie County for !a Final Development Permit. In accepting
this Final Development Permit, BP Number _0 f - I L o 11 I, I acknowledge that as
owner of the above described property, and 1h 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
f/3 e G
Property Owner Si;riature Date
STATE OF FLORIDA. COUNTY pF
ACKNOWLEDGED BEFORE ME THIS DAY OF
DY
IS PERSONALLY
AS IDENTIFICATION.
20 _ 91.
ZbR WHO HAS PRODUCED
Cyrh�c� L�� 1tZ.
SIGN RE OF NOTARY y� TYPE OR PRINT NAME OF NOTARY
IJoZ .§,' rued WALTZ
CYNTQBEAU?•
NOTARY BLI6LIC -nTLE � COMMISSIQN NU a MY COMMISSION # DD 160202
l0F `,4, EXPIRES: October 22, 2006
t.g00,_OTARY FL Notery Service 8rsonding. Inc.
N
TO 39dd 00 Mom 1S 9ELTZ9t1ZLL 8b:0T 90OZ/E0/10