HomeMy WebLinkAboutFilled Land Affidavitr �
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B V�1�11r LT & Z0N99
2300N MGI1QIA AVENUE
PORT PIERCE; FL 34982=5652
772-4624553
I, the undersigned, am the owner of the following described property:��
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(Tax IDiLegaidescription/Addiess) northeasterly of I-95
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 peiniit for the devrkppment of this property, St, Lucie County is neither obliged
nor liable to providefor, or maintain in -any form, adequate drainage off my property which
will not adversely affect the immediate comriiunity,
Property'O•wiler Name
Property Owner Signature Date
STATE OF FL.ORIDA, COUNTY OF S t _ L u : i
ACKIJOWLEDGED BEFORE ME Ties oZ DAY OF _ • . J Ll C- 20 c^
1,
BY—M8t tl1 T T l W�anrLP WHO IS PERSONALLY 1 TO M60R WHO HAS PRODUCED
AS IDENTIFICATION.
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SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
NOTARY PUBLIC TITLE It Max an (SEAL)
DOROTHYANN SASKIN
�t ,= MY COMMISSION # GG 030M45
'•; ao° EXPIRES; October2, 2020
''?t •' Bonded Thnr Notary Public Underwriters