HomeMy WebLinkAboutFILLED LAND AFFIDAVIT�JLcOG ST. LUCIE COUNTY
h 4p BUILDING & ZONING
2300 VIRGINIA AVENUE
FORT PIERCIE,
FIL 982ZS52
ORI�
SCANNED
FILLED LANDS AFFIDAVIT BY
Sit. LucieCourity
y S 0 -7- 1 0 5 ;7
I, the undersigned, am the ow er of the following described property:
3 92 _D
for which I have applie�to St. Lucie gluntyfo,,[[a Final Development Permit. In accepting
this Final Development Permit, BP Number 6B I a - 0 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
STATE OF FLORIDA, COUNTY OF `�J - LU G t
Property Owner
ACKNOWLEDGED BEFORE ME THIS `-t DAY OF
2CLO
Date
BY WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
v06 p a.35.1R o. Li t4 10 y • O AS IDENTIFICATION.
SIGNATURE OF NOTARY
NOTARY PUBLIC TITLE
TYPE OR PRINT NAME OF NOTARY
COMMISSION NUMBER
(SEAL)