HomeMy WebLinkAboutFilled Land AffidavitT
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
230O VIRGMU AVENUE
FORT FIERCE, FL 34982-5652
CM 462-1553
FU LED LAND AFFIDAVIT
T the nndemierled. am the owner of the following described property,
for which I have applied to St. Lucie County for a Final Development Permik In
accepting this Final Development Permit, BP Number c�)0Q�1! I acknowledge
that as owner of the above described property, and in accordande 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 WII L 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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Owner Name lease Frint)
3 2h 1 ZoZo
Date
STATEOF FLORIDA. COUNTY OF S 1 1066
ACKN/OO�IWLEDJG'E'BEFORBMETHIS 027 DAY OF fi a - `- , •20 C/`�
BY KG1J1 ClGCl � K• &( WHO IS PFXSO A TO ME a OR WHO RAS
AS IDENTIFICATION.
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SIGNATURE OF NOTARY PUBLIC I TYPED PRINTNOTARY
COMMISSION NUMBER
(SEAL)
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State BISHOP
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