HomeMy WebLinkAboutFilled Land AffidavitST. LUCIE COUNTY
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r 2300 VIRGINIA AVENUE
t ' FORT PIERCE, F134962-5652
F�OR�Op 462-1553
FILLED LANDS AFFIDAVIT
I, the undersigned, am the owner of .the following described property:
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for which I have applied to St. Lucie County for a Final Development Permit. In accepting
this Final Development Permit, BP Number -6 / '''a , 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 OFF+ Q fl
ACKNOWLEDGED BEFORE ME THIS _DAY OF 20
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ARY
NOTARY PUBLIC TITLE
KNOWN TO ME OR WHO HAS PRODUCED
TYPE OR PRINT NAME OF NOTARY
'- MY COMMISSION # DD
p EXPIRES: Feb 5117
eonded Nary 14, 2010
>� TbN Notary public Underwriters
COMMISSION NUMBER (SEAL)