HomeMy WebLinkAboutFilled Land AffidavitST: LUCIE COUNTY
BUILDING & ZONING
2300 VIRGINIA AVENUE
FORT PIERCE, FL, 34982-5652
772-462-1553
FILLED LA", AFFIDAVIT
I, the undersigned, am the owner of the following described property:
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(Tax ID/Legal description/Address) 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 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 Signature Date
STATE OF FLORIDA. COUNTY OF
ACKNOWLEDGED BEFORE ME THLS_ DAY OF NaU Q»j Ex 20
BY Ma tth w T Y 1-e—W_yn ne wHO IS PERSONALLY KNOWN TO ME:OR WHO HAS PRODUCED
n AS IDENTIFICATION.
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SIGNATURE OF NQTARY TYPE OR PRINT NAME OF NOTARY
NOTARY PUBLIC TITLE CO (SEAL)
"DOROTHYANNBASKIN
MY cOMMISSION # GG 030145
EXPIRES: October 2,2020
ers
Bonded TMru Notary�Public Undet writ