HomeMy WebLinkAboutFILLED LANDS AFFIDAVIT#1
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BUMDITG & ZONTING
23OG VIRGTNIA AVENUE'
FORT PIERCE, FL 34982-5652
772462-I553
I, the undersigned, am the owner of the following described property: \q V '=-d 0' C-V Q Z
(Tax M/L.egat
_chid, aaG .Range 39E,
N&W of Turnpike Feeds
for which I have applied to St. Lucie County for a Final Development Permit. In accepting
this Final Development Permit, BP Nurriber 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 6VIY L 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.
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Property Owner Name Property Owner Signature Date
STATE OF FLORMA, COUNTY OF fifi . Tmi _P
i-
ACKNOWLEDGED BEFOREMETPUS-DAY OF '20-21
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NDAa WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
AS IDENTIFICATION.
SIGNATURE OF AARY TYPE OR PRINT NAME OF NOTARY
NOTARY PUBLIC TITLE
COMMI55L0 (SEAL)
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