HomeMy WebLinkAboutFILLED LAND AFFIDAVIT11/18/2004 09:21 8635375140 G T SERVICES PAGE 04/20
ST. LUCIE COUNTY
BUILDING & ZONING
2=VIR mAvaNw
FMTPMRCEfL3MWZ=
581482455T
FILLED LANDS AFFIDAVIT
i, the undersigned, am the owner of the following described property.
SCANNED
BY
St. Lucie County
- `i geS/QX
for which I have applied to St. Lucie County fora 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, 1 shall be responsible for assuring adequate
drainage so that the immediate community WILL NQ%G'be adversely affected. 1 further
acknowledge that in granting this permit for the development of this property, SL Lucie
County is neither obliged nor liable to provide for, or maintain in any form, adequate
drainage off my property which will not adversely affects immedi mmun v.
Q
Property Owner Name
STATE OF FLORIDA, COUNTY OF' -"',-
ACKNOWLMGEO BEFORE ME THIS 1\4rr DAY OF
Owner Signature Date
2O_\
PRODUCED
AS IDENTIFICATION.
SIGNATURE OF NOTARY TYPE OR PRINT NAME, OF NOTARY
-N PUBL TmF COMMISSION NUMBER ISEALI
y -" 7iry, SUSANMAGEE
'.w MYCOMMISSIDNSDD1865g7
.,�°f ems; . am �rnm N F�Nary23, 2007
�YNAOe Un0erv�3¢rs