HomeMy WebLinkAboutFilled Land AffidavitST. LUCIE COUNTY
�., BUILDING & ZONING
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
F�0R10P • 462-1553
!SC LANDS AFFIDAVIT
I, the undersigned, am the owner of the following, described property:
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(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 070?,-pl b V- 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
STATE OF FLORIDA, COUNTY OF57- 4U01 %E
Property Owner Signature Date
ACKNOWLEDGED BEFORE ME THIS 42 DAY OF1__'1_P__4 I4 2007
BYj(,Z /—,+S WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
AS IDENTIFICATION.
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SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
NOTARY PUBLIC TITLE DD 0�91 S COMMISSION NUMBER (SEAL)
........................................
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% ELIZABETH A. OLIVER
`a=a�tpro�en; Comm# D00431955
Expires 5/222009
Bonded thru (800)432-4254'
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