HomeMy WebLinkAboutFILLED LANDS AFFIDAVITb v LU 1, r
O R: ,I' •D.::A �
ST. LUCIE COUNTY
BUILDING & ZONING
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
772-462-1553
FILLED LANDS AFFIDAVIT
of the following described property:
(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 —()3f 5 5?6 , 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 forthe 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.
CtNTEX pDMES �L-.)-3--67
Property Owner Name Property Owner Signature Date
STATE OF FLORIDA, COUNTY OF PALM "Be AC\a
ACKNOWLEDGED BEFORE ME THIS Oz3rA DAY OF r ` , 20 b e7
VAVIO I1xARArns WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
AS IDENTIFICATION.
SIGNA RE OF NOTARY TYPE OR PRBYI NOWY PUBLIC -STATE OF FLORMA
-DD`AS26sbc Tonya McDonald
TITLE PUBLIC TP OMMISSION NUMB COmmissiGn #DD452656
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