HomeMy WebLinkAboutFILLED LAND AFFIDAVITST. LUCIE COUNTY
BUILDING & ZONING
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
772462-1553
FILLED LANDS AFFIDAVIT SGANNED
BY
St. Lucie Counh
I, the undersigned, am the owner of the following described property:
(TaxID/Legal
for which I have applied to St. Lucie County for a Final Development Permit. In accepting
this Final Development Permit, BP Number W3 Doi' , 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.
VWa;,NC.E E . [-S m�E&-Vt.�ill..
Property Owner Name Property Owner Signature Date
STATE OF FLORIDA. COUNTY OF
ACKNOWLEDGED BEFORE ME THIS 02r�l— DAY OF RAUA . 20 o
BY YLO(L�C C 3E!bIFthI_.P— wHO IS PERSONALLY KNOWN mnm OR'
AS IDENTIFICATION.
SIG ATURE iFNOTARY TYPE OR PRINT NAME OF NcrrAPY`ii?YOF MARY YRAPANI
M "MISSION # DD68946(
NOTARY PUBLIC TITLE COMMISSION E�l,a�h EXPIRES September 30, 2011
(407)398-D153 H011dallolaryServim.mm