HomeMy WebLinkAboutMCDOUGALL FILLED LANDS AFF . ,.._r ST. LUCIE COUNTY
BUILDING &ZONING
2300 VIRGMA AVENUE
a FORT PIERCE,FL.34482-5652
° 772-462-1553
FILLED LANDS AFI'IDAVIT
f, the undersigned, am the owner of the following described xo erty
(Tax ID/Legal description/Address)
S'�
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.
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Property Owner Name Property Owner Signature Date
STATE OF FLORIDA,COUNTY OFFLLJl� T�sI
ACKNOWLEDUED$EFORF NE y 20AI
THIS DAY OF ��
SY��1Je�L�� 47/!.�•tu WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
' /per
AS IDEN TMCATION.
eX�
SIG ATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
(SfiAi.)
NOTARY P[TSLSC TT1ZE MISSION NUNMER
{y'f Pr.� i�lr.,c,�Public.S!a:a of Fiori0
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