HomeMy WebLinkAboutFilled Land Affidavit _ ST.LUCIE COUNTY
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a FORT PIERCE,FL.34982-5652
o s 772-462-1553
F.M-L-ED-LANDS AFFIDA`TT
I,the undersigned, arnthe owner of the bo win described property: 260 f
(Tax ID/Legal descriptior>IA4(T e,s)
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 7.04.03.(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 Pr4;Owner Signature Date
STATE OF FLORIDA,COUNTY OF W
y
ACKNOWLEDGED BEFORE ME THIS Y OF 20—j { .
BYT. PERS*ALLY KNOWN TO ME OR WHO HAS PRODUCED
L— IDENTIFICATION.
Im" f"q;� Afi *A^I-- I A
16469tj - —%,:� E.
SIGNATURE OF NOT Olt PRINT NAME OF NOT Y
(SEAL)
NOTARY PUBLIC TITLE COMMISSION NUMBER
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I t t
lwtt:"ys' AUDREY B,HUMPHREY
MY COMMISSION#EF 174772
EXPIRES:March 6,2019
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` Bonded ThroNotary Public Undecwritets
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