HomeMy WebLinkAboutFILLED LAND AFFIDAVITRECEIVED JUN ? 9 2017
ST. LUCIE COUNTY
BUMI)ING & ZONING
2300 VIRMIA AVENUE SCANNED
FORT PIERCE, FL.34982-5652 BY
772462-1553 St. Lucie County
FILLED LANDS AFFIDAVIT
I, the undersigned, am the owner of the following described property:
13ot lfl1S noo I 000 2/G-e..lF.W".A I��sk-wv
(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 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.
hA\� V LOpock
Property Owner Name
Property Owner Signature Date
STATE OF FLORIDA. COUNTY OF 'Gyl• L-j r-l f
-17
ACKNOWLEDGED BEFORENMTHIS 5 rt DAY OF A? 21 L. 20 M
BY t_0iL2E rAIpJ0S-r WHO LS PERSONALLY KNOWN TOME OR WHO HAS PRODUCED
-r-�>n 1 JC-R LI CENSE AS IDENTIFICATION.
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SI Y TYPE OR PRINT NAME OF NOTARY CHRISTOPHER J. FRYAUFF
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_ .._ . OTARY PUBLIC
NOTARYPUBLIC TITLE FF 14- 2 6I 4 COMMISSION NUMBER So STATE OF FLORIDA
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Expires 7/17/2018