HomeMy WebLinkAboutFILLED LANDS AFFIDAVIT 8-11-05ST. LUCIE COUNTY
BUILDING & ZONING
r 2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
a,. 561-462-1553
FILLED LANDS AFFIDAVIT
I, the undersigned, am the owner of th following described
131.9.'3q/..,0®�1-►Doa-s 528: T'3i�++:
(Tax ID egal description/Address)
6�44
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Hde,`a Rd
for which I have applied to St. Lucie County for a Final Development Permit. In accepting
this Final Development Permit, BP Number . , 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 I M D14PJ LIV Ee—
ACKNOWLEDGED BEFOREE,ME THIS 1 1 � DAY OF-AQ1% u ST" . 20AC
BY cAa4 S .fM t ' �-1 WHO PERSONALLY KNOWN O ME OR WHO HAS PRODUCED
AS IDENTIFICATION.
n
SI ATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
(SEAL)
NOTARY PUBLIC TITLE COMMISSION NUMBER
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TAMMY W0131ANCO
CWMWON441013
a4�Elrplwa e114/R000 •.
BOndad YIN (000�13242ti4
_ F Florida Notary Ann., I=
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