HomeMy WebLinkAboutFILLED LAND AFFIDAVITST. LUCIE COUNTY
D DEPARTMENT OF COMMUNITY DEVELOPMENT
2300 VIRGINIA AVENUE
FORT PIERCE. FL 34992-SS52
56IA62-1553
FILLED LANDS AFFIDAVIT
SCANNED
BY
St. Lucie County
I, the undersigned, am the owner of the following described property,
'V) -Si l - nozfJ - 00o f7
(tax IDAegal descriptionladdress)
for which I have applied to St. Lucie County for a Final Development Permit. In accepting
this Final Development Permit, BP Number Z& 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.
�AN�eE�Gaa.e�t,�e\�o �-1q-05
Property Owner y operty Owner Date
(Pdnt) nature
STATE OF FLORIDA, COUNTY OF
SWO TO AND SUBS ISED BEFORE ME THIS DAY OF .�eQ S
BY /elzwlt4do. WHO IS PERSONALLY K OWN TO ME O WHO HAS PRODUCED
AS IDENTIFICATION.
j81(PqATURE OF NOTARY
�
.•
MARGERY NADALIN
i�r,�,aa�rey ,I�r�o,a.vv
TYPE OR PRINT NAME OF NOTARY
COMMISSION NUMBER
(seal)
""OF 0o t rlKr ;14. u.�w' I SLCCDV FORM NO.: 011-00
1E0 NOTMY FL N01O y S.,ice 6 0en&n0, InB 1