HomeMy WebLinkAboutFILLED LANDS AFFIDAVIT - 4 LA PALOMAS . LWCIE
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ST. LUCIE COUNTY
BUILDING & ZONING
2300 Vn2GINIA AVENUE
FORT PIERCE, FL 34982-5652
772-462-1553
FILLED LANDS AFFIDAVIT
I, the undersigned, am the owner of the following described property: �� 1< qXIZ�,Z'AC�
3427-111-0002-000/5
(Tax ID/Legal description/Address)
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 5T. "I e
ACKNOWLEDGED BEFORE ME T(HISaI DAY OF x .201!
BY /YI ,4WWjFW GYC G W Y•UNE WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
IV
SIGNATURE OF NOTARY
NOTARY PUBLIC TITLE
IDENTIFICATION.
tJO r20"fuH 4yN ' 13'ssx a
TYPE OR PRINT NAME OF NOTARY
(SEAL)
�S.
DOROTHY ANN BASKIN
My COMMISSION#HH 045W
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