HomeMy WebLinkAboutFILLED LAND AFFIDAVITST. LUCIE COUNTY
{ BUILDING & ZONING
�v 2300 VIRGINIA AVENUE
FORT PIERCE, FL34982-5652
��ORIOp 561462-1553
FILLED LANDS AFFIDAVIT
I, the undersigned, am the owner of the following described property:
SCANNED
BY
St. Lucie County
cJ-�c
for which I have applied to St. Lucie County fojxa Final Develop ent Permit. In accepting
this Final Development Permit, BP Number 6 o 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.
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Property Owner Name
STATE OF FLORIDA, COUNTY OF
BY
THIS CA,:) _DAY OF
IJ(L_ WHOISP
200
KNOWN TO ME OR WHO HAS PRODUCED
' 4-CV y C..k AS IDENTIFICATION.A ,,
SIGNATURE OF NOTARY -TYPE OR PRINT NAME OF NOTARY
NOTARY PUBLIC TITLE Z� l / -(06 COMMISSION NUMBER (SEAL)