HomeMy WebLinkAboutFilled Land Affidavitt
ST. LUCIE COUNTY
BUILDING & ZONING J
F r 2300 VIRGINIA AVENUE
' FORT PIERCE, FL 34982-5652
�OR10A 462-1653
FILLED LANDS AFFIDAVIT
I, the undersigned, am the owner of the following described
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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 oI 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
D
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I_zyI
Property Owner Signature Date
STATE OF FLORIDA. COUNTY OF.
. I .
ACKNOWLEDGED BEFORE ME THIS —DAY OF
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WHO IS PERSONALLY KNOWN TO ME'IOR WHO HAS PRODUCED
AS IDENTIFICATION.
113 4 e— A-;D c 44L E�
NOTARY PUBLIC TITLE
TYPE OR PRINT NAME OF NOTARY
o; EXPIRES: October 16, 2009
F-041od n°�` Bonded Thru NotaryPubllo UndOmbrs
(SEAL)