HomeMy WebLinkAboutFilled land aff ST. ]LUCIE COUNTY
BUILDING & ZONING
2300 VIRGMA AVENUE
FORT PIERCE,FL 34982-5652
772-462-1553
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FILLED Y ` .S AFFIDAVIT
.1, the undersigned, am the owner of the following described property
#1 301 -1 1 1 -nnnl -nnn-9 Ea tz of -qart-; nn 1 tnWnghj]3 34S Range 39E,
F (Tax M/Legal description/Address)lying N&W of Turnpike Feede
�= 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 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 Property Owner Signature Date
STATE OF FLORIDA,COUNTY OF S t _ T.n -i P
ACKNOWLEDGED BEFORE ME THIS `v DAY OF�w L�+�LL12) 20
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BYMO/� f WiK"� WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
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AS IDENTIFICATION.
SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
NOTARY PUBLIC TITLE C-P I n v OCOMMTSSION NUMBER (SEAL)
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'- �+P" "&e� Notary Public State of Florlda
KeniBudka
a boa My Commission FF 978543
~'�a�o Expires 05125/2020
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