HomeMy WebLinkAboutFILLED LAND AFFIDAVITST. LUCIE COUNTY
4� BUILDING & ZONING
ti, gr 2300 VIRGINIA AVENUE II1
FORT PIERCE, FL 34982-5652 SCANNED
561-462-1553 BY
R p St. Lucie Conow
--- FIL- L- ED-L- ANDS AFFIDAVIT -
the undersigned, am the owner of the
1 SG—a—Sol-0-114—Don.
(Tax ID/Legal
for which I have applied to St. Lucie County for a Final Development Permit. In accepting
this Final Development Permit, BP Number W06 -U47I 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 fiuther acknowledge that in
granting this permit for the development ofthis 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.
o
Property Owner Name Property Owner Signature Date
STATE OF FLORIDA, COUNTY OF Sfi 40 G! �
ACKNOWLEDGED BEFORE METHIS (9l'h" DAY OF �V /I e 20 US
BY WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
SIGNATURE OF NOTARY
IDENTIFICATION.
TYPE OR PRINT NAME OF NOTARY -04
NOTARY PU13UC TITLE L,[/ `J U.7 (oC'l RNOSIONI U=e
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