HomeMy WebLinkAboutFilled Land Affidavit If
ST. LUCIE COUNTY
=� BUILDING & ZONING
2300 VIRGINIA AVENUE
® FORT PIERCE,FL.34982-5652
o e 772-462-1553
I,the undersigned, am the owner of the following described property:
(Tax ID/Legal description/Address)
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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 ,I acknowledge that as owner'' f
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. j
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Property Owner Name Property Owner Signature Date
STATE OF FLORIDA,COUNTY OFf9
ACKNOWLEDGED BEFORE ME THIS DAY OF
BY J Q1W WHO I5 PERSON Y KNOWN TO ME OR WHO HAS PRODUCED
12-0 -213-6 Z- 34�•Q AS IDENTIFICATION.
SIGNATURE OF NOTARY TYPE OR PRINT NAME OFNOTARY
(SEAL)
NOTARY PUBLIC TITLE COMMISSION NUMBER
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LASHAHNAINGRP A
Notary Public
My Corm
Naticnal Notary Assn.t'.