HomeMy WebLinkAboutFilled Land Affidavit ST. LUCIE COUNTY
BUILDING & ZONING
2300 VIRGINIA AVENUE
® FORT PIERCE,FL.34982-5652
a o 772-462-1553
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" I,the undersigned am the owner of the foil wing described property:
(Tax ED/Legal description/AddjT
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.
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Property Owner Name Prope wner Signature Date
STATE OF FLORIDA,COUNTY O
ACKN GED BEFORE ME THIS IS DAY O r�� 2{} r 7
AC
11', ---WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
0 11 ! AS IDENTffTCATION.
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SIGNATURE OF NOT r TY440R PRINT NAME OF NOMLY
(SEAL)
NOTARY PUBLIC TITLE COMMISSION NUMBER
4;s AUDREY B.HUMpHREY
MY G0r19MlSS10N#FE i 7A772
' EXPIRES:March 6,2019
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NOWY Public Underwriters