HomeMy WebLinkAboutFilled Land Affidavit�JL�� COG ST. LUCIE COUNTY
BUILDING & ZONING
_ 23GD VIRGINIA AVENUE
FORT PIERCE. FL 349825652
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R10A 561462-1553
FILLED LANDS AFFIDAVIT
1, the undersigned, am the owner of'tl e'following described property: `
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3yf y
(Tax ID/Legal descriplion/Address
for which I have applied to St. Lucie County for a Final Development Permit. In accepting
this Final Development Permit_, BP Number ® gD 17a D 1. . I acknowledge t
owner of the abova-d- cam fi—R 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.
1
ope w er Ptone;;ty wnerw& Date
STATE OF FLORIDA, COUNTY OF
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AC OWLEDGE/,D/fBEFO ME THIS DAY OF �1 %r.� lYI� , 2[2 %
BY WHO IS ERSONALLY KNOW O ME OR WHO HAS PRODUCED
AS IDENTIFICATION.
SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
NOTARY PUBLIC TITLE
E
MELA J TRUDEL
COMMISSION # DD528262
EXPIRES: Mar.14,2010
Florida Notary Service.com
(SEAL)
COMMISSION NUMBER
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