HomeMy WebLinkAboutFILLED LAND AFFIDAVITST. LUCIE COUNTY
BUILDING &ZONING
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23W VIRGINtA AVENUE
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FORT PIERCE. FL 34962.5652
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561�62.135]
FILLED LANDS AFFIDAVIT SCANNED
s �udecouph,
I, the. `unddersigned, am the owner of the following described property:
for which I have applied to St. Lucie County for a Final Development Permit. In accepting
this Final Development Permit, BP Number 2-g0L tz5 S 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.
t� ov� t rlbv A"
Property Owner Name Property Signature Date
STATE OF FLORIDA. COUNTY 0�
AC OWLEDG D B FOREME THIS AY OF 20V .
((Kn WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
NOTARY PUBLIC TITLE
IDENTIFICATION.
� rai��(rleir,r
TYPE OR PRINT NAME OF NOTARY
COMMISSION NUMBER r�p�
IPpVP(j4i"113Yany Henry
CommW=#CC967129
qt` o EIPhw s • 11r1..2004
i4W AtImUe Bmdmg Co., rn6
(SEAL)