HomeMy WebLinkAboutFILLED LAND AFFIDAVITL\E Cp
yJ �' ST- LUCIE COUNTY
< BUILDING & ZONING
2300 VIRGINIA AVENUE
•F -9' FORT PIERCE. FLb982-5652 SCANNED
�ORIOp 561462-1553
BY
St. Lucie County
FILLED LANDS AFFIDAVIT
I, the undersigned, am the owner of the following described property:
(Tax IDlLegal description/Add ess) •
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
STATE OF FLORIDA. COUNTY OF_ L n s
Property Owner Signature Date
ACKNO+WLEDGED BEFORE ME THIS _DAY OF
BY 4--t'l (v . n .-P..%, it .--- -
SIGNATURE OF NOTARY
NOTARY PUBLIC TITLE
OR WHO HAS PRODUCED
TYPE OR PRINT NAME OF NOTARY
T->t:IOw3a COMMISSION NUMBER
(SEAL)
PATRICIA I...GIUNTA .••••..•.
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