HomeMy WebLinkAboutFilled Lands Affidavit vV6utttl,u2ly,.►anuary a t,LVV/ t V-LJ t%tV[ :Do-[-[(p-OVOO
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FMLED LANDS AFFYDAVrr =_
.t, the undersigned,am the owner of the following described property:
2532-500-0084-000-7 5024 Watersong Way, Ft_ Pierce_ FL
(Tax IDA"jal descdpWWAddress)
.for which I have-applied to St.Lucie County fora Final Development Permit. In accepting
this Final Development Permit, BP Number QED3 61Y6' ,1 acknowledge that as f
-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 i
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 Flame P o erty caner Signature Date
STATE OF FLORIM COUNTY OF 1 / MCA-
ME THIS DAYOF ✓ 1
WHO IS RSONALLY KNOW ME OR WHO HAS PRODUCED
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AS IDENnFICATION.
SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
(SEAL) f
NOTARY PUBUC TmJE D� � CO(NMISSION NUMBER `
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� r PAMELA 3 TRUDEL I
MY COMMISSION*D0528262
EXPIRES: Mar.14,2010
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