HomeMy WebLinkAbout0907-0243 FILLED LAND AFFIDAVIT�Jc�E COG ST. LUCIE COUNTY
BUILDING & ZONING
2WO VIRGINIA AVENUE
FORT PIERCE. FL 34982-5652
F�0R10p` 561462-1553
FILLED LANDS AFFIDAVIT
1, the undersigned, am the owner of the following described property:
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SCANNED
BY
St Lucie County
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for which I have applied to St. Lucie County for a Final Development Permit. In accepting
this Final Development Permit, BP Number , 1 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.
Property Owner Name Property Owner Signature Date
STATE OF FLORIDA, COUNTY
7
ACKNOWLEDGED BEFORE ME THIS DAY OF - .2
F,. T�WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
AS IDENTIFICATION.
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SIGNATURE OF NOTAFff TYPE OR PRINT NAME O TARY
NOTARY PUBLIC TITLE COMMISSION NUMBER (SEAL)
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PN•,, AUDREY B. HUMPH
=� MY COMMISSION # DD 6331 +
EXPIRES: March 6, 2011
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