HomeMy WebLinkAboutFILLED LAND AFFIDAVITST. LUCIE COUNTY
BUILDING & ZONING
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
772-462-1553
FILLED LANDS AFFIDAVIT
SCANNED
BY
St. Lucie County
L, the undersigned, am the owner of the following described property:
447 6- VIA eoZ4-a0a 4 NntAWW L R or & 'I- 4.+.etwtw v`ghle I,a i to (at Lai. 1270)
(Tax ID/Legal description/Address)
for which I have applied to St. Lucie County for a Final Development Permit In accepting
this Final Development Permit, BP Number 0-711- 0.2 Y7 , 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 Owner Name
SA c r-z t AW
Property Owner Signature Date
STATEOFFIARIDA. COUNTY OF
//—/5/6 ;7
ACKNOWLEDGED BEFORE,IMETHIS /J DAY OFTAO%
BY L/� .1 ✓ • eMa41 WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
"f,Ltlin �wxla/ AS IDENTIFICATION.
SIGNATUREOF NOTARY TYPE OR PRINT NAME OF NOTARY
NOTARY PUBLIC TITLE
4b,14 Z 7.C? COMMISSION NUMBER (SEAL)
pave>v�, Shirley A. Ri511
commission # DD462759
A•. - off:' Expires September 28, 2009
IFU`� Bonded TmV lain -Insurance, Inc 8*3W7019