HomeMy WebLinkAboutFilled Land Affidavit ST. LUCIE COUNTY
BUILDING 4X. ZONING
2300 VIRGINIA AVENUE
FORT PIERCE,FL-34982-5652
o 772-462-1553
_ _I _ . _ __ _ --FILLED-Z�AINDS A►l���IDAj�I[T--_ __ ____.- -- ----- - -- -
I,the undersigned, am the owner of the following described property:
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(Tax ID/Legal description/Addr_ess)
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for which I have applied t0 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
unmediate 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.
Property Owner Name Property Owner Signa a Date
STATE OF FLORIDA,COUNTY OF
ACKNOWLEDGED BEFORE ME THIS t l DAY OF r��} .20-1 1
BY WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
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RIAT'URE OF NOTARY TYPE OR PRINT NAME OF NOTARY
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NOTARY PUBLIC TTFLE COMMISSION NUMBER (SEAL)
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