HomeMy WebLinkAboutFILLED LAND AFFIDAVIT.JL`E cOG ST. LUCIE COUNTY
BUILDING $ ZONING
' 2300 VIRGINIAAVENUE
FORT PIERC ,F1.98i2S652
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FILLED LANDS AFFIDAVIT- St Lucie Courlfy
1, the undersigned, am the owner of the Bowing described property:
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(Tax ID/Legal descrlptiopfAddress)
for which I have applied to St. Lucie County for a Final Development Permit. In accepting 2/
this Final Development Permit, BP Number 0 9 06.0/Oa . 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 Property ner Signature Date
STATE OF FLORIDA. COUNTY OF cJ 1 ZL(C/r✓
ACKNOWLEDGE ME BEFORE E THIS AY _DOF , yp�
BY._%J
, — A a,y t 7-h i/ //ai NA,11 WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
AS IDENTIFICATION.
SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
NOTARY PUBLIC TITLE 7, (SEAL)
Alp— �z?fy COMMISSION NUMBER
aun,
,qPa:•°� r Shirley A. Riall
Commission # DD462759
Expires September 28, 2009
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