HomeMy WebLinkAboutFILLED LANDS AFFIDAVIT - 10 VISTA DE LAGUNASY LUICI COUNTY
8UMD 'NG & ZONING
2300 VIRGRRA AVENUE
FORT PIERCE; FL. 34582-5652
772-462-1553
VI
I, the undersigned; am the owner of the following described property:
i-�s»clri'► �Qa .Range 39E'
(Tax I1D/LegatdescriptioriAddress)]ying N&W of Turnpike Feede
f° 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 corrimunity WdLL NOT be adversely affected. I der 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 imrriediate commuriity.
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Property Owner Name Property Owner Signature Date
STATE Or FLORMA, COUNTY OF." 917 _ T, i i n i .P
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ACKNOWLEDGED BEFORE ME THIS � � DAYOF
j BYtM ��� � �, WHO iS PBRSONAL'LY KNOWN TO ME OR WHO HAS PRODUCED
AS MENTIFICATION.
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SIGNATURE OF NOTARY TYPE OR PRBNt NAME OF NOTARY
NOTARY PUBLIC TiTL.S
(SEAL)
CONiMiSSIQN NUA78ER
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�� MY COMMISSION'# NH 045443
EXPIRES: October 2, 2024
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