HomeMy WebLinkAboutFILLED LAND AFFIDAVITJL1E CpG
-a
1� <
ST. LUCIE COUNTY
BUILDING & ZONING
• F
�OR1Dp
2300 VIRGINIA AVENUE
FORT PIERCE FL 34982-5652
561462-1553
FILLED LANDS AFFIDAVIT
SCANNED
Gt: Lucie County
I, the undersigned, am the owner of the following described property:
9a3°I Shorf Ch,i9 , Cr2.
for which I have applied to St. Lucie County for a Final Development Permit. In accepting
this Final Development Permit, BP Number I acknowledge as
owner of the above described property, and in accordance with Section 7.04.01(D) tSt-
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-
n �Tohn HcLy-r15
Prope y Owrier Name Property Owner Signature
Date
STATE OF FLORIDA. COUNTY OF yL/.0 C 1 e
ACKNOWLEDGED BEFORE ME THIS / / DAY OF f-e6 . Y0
BY- Uc)hn-Hay,rIC
WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
—driver- 11I c,-OSO-o AS IDENTIFICATION.
ponn;,e go -re
SIG ATURED Y TYPE OR PRINT NAME OF NOTARY
NOTARY PUBLIC TITLE (SEAL)
... .. ... COMMISSION NUMBER � � _ � ..... -.. ..
.r.........................................s
BONNIE BARE
up.. Comm# DD0423923
Evims 4282009
3� Bontlatl thm (800)43242547
Flontla Notary Assn., Inc 5
7.............................................