HomeMy WebLinkAbout0502-1081 FILLED LAND AFFIDAVITI
SCANNW ST. LUCIE COUNTY
By BUILDING & ZONING
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982.5652
561-462.1553
FILLED LANDS AFFIDAVIT
undersigned, am the owner of the following described property:
for 'I hich I have applied to St: Lucie County for a Final Development Permit. -In ,accepting
this Final Development Permit, BP Number , I acknowledge that as
Ow ! r of the above described property, and in accordance with Section 7.04.01(D), St.
Luc County Land Development Code, I shall be responsible for assuring adequate
drai', age so that the immediate community WILL NOT be adversely affected. I further
ack 'owledge that in granting this permit for the development of this property, St. Lucie
Coui ty is neither obliged nor liable to provide for, or maintain in any form, adequate
drai sage off my property which will not adversely affect the immediate community.
I
i
ui l L
Prop y Owner Name Property Own ture Date
STATE F FLORIDA, COUNTY OF S 1 L,LCeIr
7
ACKNO �I DGED BEFORE ME THIS DAY OF
BY Va4Z WHO IS IS KNOWN TO MR WHO HAS PRODUCED
AS IDENTIFICATION.
SIGNA I E OF NOTARY TYPE OR PRINT NAME OF NOTARY
i
(SEAL)
NO RY PUBLIC TITLE COMMISSION NUMBER
LYNNE MOORE
Comma OD0232858
Expires 9/23/2007
Bonded thru(800)432-4254
Florida Notary Assn., Inc.