HomeMy WebLinkAboutFILLED LAND AFFIDAVITST. LUCIE COUNTY
BUILDING & ZONING
2300 VIRGINIA AVENUE
FORT PIERCE, FL 3e9e2-5652
462-1553
SCANNED
St. LudeCou*
FILLED LANDS AFFIDAVIT
the undersigned, am the owner of the following described property:
Z2 - Z31- 000 2 - 100 7
for which I have applied to St. Lucie County for a Final Development Permit. In accepting
this Final Development Permit, BP Number b`(0+� — 043(p , 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
STATE OF FLORIDA. COUNTY OF Q� Vh. C_L. a
ACKNOWLEDGED BEFORE ME THIS Q4 DAY OF C—)4-r --- � I ,20Q-1
�`O-7 f WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
AS IDENTIFICATION.
SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
NOTARY PUBLIC TITLE COMMISSION NUMBER (SEAL)
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STEPHANIE BUSH
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MY COMMISSION A DD 532697
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EXPIRES! November 21,2009
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BeftWIThry NON P00a Underwam ,