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HomeMy WebLinkAboutFilled Land Affidaviti JL`E COG ST. LUCIE COUNTY BUILDING & ZONING F 2300 VIRGINIA AVENUE FORT PIERCE, FL 34982-5652 �ORio�- 561462-1553 FILLED LANDS AFFIDAVIT I, the undersigned, am the owner of the following described property: for which I have applied to St Lucie County for a Final Development Permit. In accepting this Final Development Permit, BP Number _/)-50 (p -- &3G , I acknowledge that as owner of the above describetl 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'rthis 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. 9wbl./J Property Owner Name Property Owner Signature Date I STATE OF FLORIDA, COUNTY OF ACKNOWLEDGED BEFORE ME THIS n DAY OF 2P BYVC/ WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED OF NOTARY NOTARY PUBLIC TITLE IDENTIFICATION. TYPE OR PRINT NAME OF NOTARY COMMISSION NUMBER (SEAL) I 3 .�',,,,y n`•, �, KAREN L LAVERACK t : ° Notary PubMc • - Staff of Ftorkla • `M'C42ooi ' ;q 27- COmMW1on # DDZ1981 " Booked By Nakwo I ST. LUCIE COUNTY BUILDING & ZONING 2300 VIRGINIA AVENUE FCRT PIERCE. FL 34g62.5652 561-462.1553 FILLED LANDS AFFIDAVIT I I, the undersigned, am the owner of the following described property: Win (Tax ID/Legal description/Addres ) forwhich I have applied tolSt. Lucie County for a Final Development Permit. In accepting this Final Development Permit, BP Number .- LC D._y 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 immeIdiate 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 or liable to provide for, or maintain in any form, adequate drainage off my property which will not adversely affect the immediate Communit � . Y I �S Property Owner Na.me I Property Owner Signature Date STATE OF FLORIDA. COUNTY OF GED BQFORE ME THIS BY J DAY OF , Zp WHO IS PEBSDNALLY KN0]pCNLME OR WHO HAS PRODUCED .—� IDENTIFICATION. SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY NOTARY PUBLIC TITLE (SEAL) COMMISSION NUMBER KAREN LAhtA Iq( a` Ndaq► PubMc - >� a IF�orlda evNaloral A.