HomeMy WebLinkAboutFilled Lands AffidavitJL�E CMG
ST. LUCIE COUNTY
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BUILDING & ZONING
2300 VIRGINIAAVENUE
FORTPIERC 82-SS52
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FILLED LANDS A F111DAVIT
1, the undersigned, am the owner of the following described property:
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for which 1 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 ifor 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
STATE OF FLORIDA. COUNTY O�
ACKNOWLEDGED BEFORE ME THIS (:P `-c
NOTARY PUBLIC TITLE
Property Owner Signatures Date
V�
DAY OF .20
Is PERSON Y KNOWN TO OR WHO HAS PRODUCED
ENTIFICATION.
TYPE OR PRINT NAME OF NOTARY
COMMISSION NUMBER (SEAL)
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Bond ES-' 511ft Not, 14317�14 201p