HomeMy WebLinkAboutFILLED LAND AFFIDAVIT39
ST. LUCIE COUNTY
BUILDING & ZONING
23DO VIRGINM AVENUE
FORT PIERCE, FL 34982-5652
462-1553
SCANNED
BY
St. Lucie Comb/
FILLED LANDS AFFIDAVIT,,,,-,, Az
I, the undersigned, am the owner of the following described property:
for which I have applied to St. Lucie ¢9unty fora Final Development Permit. In accepting
this Final Development Permit, BP Number (�'�b — Q a(Q, 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.
m
jPre wner Name
STATE OF FLORIDA, COUNTY �� • gC.J(i(ClE'
.. /.rne ature
Date
ACKNOWLEDGED BEFORE ME THIS DAY OF ,pp
BY 6ti<-''lzl/1 •�13 f lUe-ie- WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
�'a'• ie • L /0• AS IDENTIFICATION, o
SI A E O OT RY TYPE OR PRINT NAME OF NOTARY
59
NOTARY PUBLIC TITLE COMMISSION NUMBER (SEAL)
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1
i
'r` R'Rh'yi;;. AUDREYp.HUMPHREY r'
+° MV COMMISSIDN R DD 190387 � /
�' EXPIRES: March 6, 2007 � �
•$E,}1K�`•. 6ontledThru Nola PubOc I - ry Untlervmters
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