HomeMy WebLinkAboutFILLED LANDS AFFIDAVIT11W—
'S, u l�C Y
G K 1 V A'
PLANNING & DEVELOPM M WRVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
FL RECEIVED gpR'z12015FM
(772)462-1553
FILLED LANDS AFFIDAVIT SCANNED
St. LucBy
County
I, the undersigned, am the owner of the following described property,
33 Zx--9cv _ 0001-000
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number . I acknowledge
ti 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.
EGA 2ys��y� INc .
Property Owner Name (Please Print)
er Sign Date
STATE OF moRiox COUNTY OF 57- Z U W l = ' 4
ACKNOWLEDOEUBEFORE?dETHIS /✓ DAY OF 'l ? L 20 I`r�
BYJ/May 6-alea OISPERSONALLY RNOWNTON Olt W.HOnAS
PRODUCED AS IDENTINCATION.
Anna, E. &4rc,e%P-
r SIGNATURE OF NOTARY PUBLIC TYFEORPRINTNOTARY
GC: FS�Y7Y'�I COMNRSSIONNUNIBER
(SEAL)
SLCPDSD Revind 08242010
11Nw . ANNA E SCHRADER
h MY COMMISSION Y EE 847629
EXPIRES: January 7, 2017
' RE ` Bonded TWNotary PWic UndemmtM