HomeMy WebLinkAboutFilled Land Affidavitr
�JV �Gy ST. LUCIE COUNTY
' BUILDING & ZONING
2300 VIRGINIA AVENUE
FORT PIERCE. FL 34982-5652
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 , 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 �'► b �` C.L-Q
ACKNOWLEDGED BEFORE
�r(M�ETHIS DAY OF l/Z �— 20 !v
BY ( `f'�� WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
E (O(O ' CD • AS IDENTIFICATION.
C�ca2Q9� G�ct-ct� i 2 C�uc.roLGtQ�
SI ATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
NOTARY PUBLIC TmF COMMISSION NUMBER (SEAL)
JJ
BEATRIZ (30YCOCH
MMISSION MY CO N d0 681 439
,
F �uAfltl�FAPIRES. July 7m 2011
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