HomeMy WebLinkAboutFILLED LANDS AFFIDAVIT5614657665 R.K. DAVIS 314 P01/01 DEC 18 101 17:46
ST. LUCIE COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
330a W110 Ia evx=z, Boom 20a
70= YIBRC&, FL 74987-5M
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FILLED LANDS AFFIDAVIT
1, the undersigned, ant the owner of the following described property,
([a IOflep] de9orlp{IoWsuldr0a5)
for which I have applied to St. Lucie County for a Final Development Permit In accepting
this Final Development Permit, SP 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 Cade, 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.
Properly Owner Prop dy or DatO
(Prtr* (819nalure)
STATE OF FLORIDA, COUNTY OF '571 L U I:.l t
THE FOREGOING INSTRUMENT WAS ACKNOWLEDGED BEFORE ME THIS I -0AY OF. L(2vu lnc / I
WHO IS PgMNALLY KNOWN To ME OR WHO HAG PRODUCED
IGNATURE OF NOTA Y iYPE OR PRINT NAME OF NOTARY
As IDENTIFICATION.
Van MY COMMISSION# DD031 60 EXPIRES
WMARY aueL.I0 Tma 0 00313 tip COMMISSION NUMeE**.June 4, .
SBONDED THRU TROYFAIN
UAANCE ING
SLCCDV FORM NO.: W 1-00