HomeMy WebLinkAboutFilled Land Affidavit W"M-Mffivil
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PLANNING&DEVLWnffM SERVICM DEPARTMENT
BUILDING&CODE REGULATIONS DIVISION
��R�A� RECEIVED
mRT PiE'[tC6,F[.3498 .5652
(472)461333
OCT 2 3 2017
FU,LF,I) LANDS AFFA Vrr PERMITTING .
li Y�l St. Lucie County, FL
I,the un ersiignecL am the owner of the&glowing desca;,bed property,
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for which I have applied, to St. Lucie Cou dy for a Find Development permit. In
accepting this Final Development Permit, BP Number _ . I acknowledge
that as owner of the above descn-bed property, and in accordance with Section
7.04.01(D),St.Lucie County Land Development Code,I shall be re,4ponsMe for'assuring
adequate drainage so that the immediate community WILL NOT be advemlp affected.
I furtlLer acknowledge that in grading this permit for the developmerlt of this Property,
St. Lucie County is neitha obliged nor liable to provide for, or maintain. in any form,
adequate drainageoff my property which WM not adversely affect the immediate
community. _ .._
Owner Name{P16ease Print)
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Property Owner Sigaat= Ddo
STATE OF FLORIDA,COUNTY OF ST• C
A1QK.IN0W`LEDGID-BEElMU NM-TM_.( DAY OF
BY �c�\1 CSC_ -t-rn 1�'C`�l rl3 WHO IS PERSONALLY Y KNOWN TOME OR WHO HAS
PROPUM nsmnNTMCATtt
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ONATURE OFNOTARY PUBLIC TYPB ORPRINTNOTARY
CdMMISSIUN NUMBER
CARMNSON
�p RFs,
c Notary Public-State of jid
Commis:ion N FF 985
MY Comm.Expires Feb 2
SLCMD Rzvisad 08/24!1010