HomeMy WebLinkAboutFILLED LAND AFFIDAVIT1
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SCANNED
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FILLED
ST. LUCIE COUNTY
BUILDING & ZONING
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5552
1 561-462.1553
S AFFIDAVIT
1, the undersigned, am the owner of the following described property:
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(Tax ID/Legal descripGoNAddress)
for which I have applied to St. Lucie County for a Final Development Permit. I n 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 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 willf +got adversely affect the immediate community.
Property Owner Name
STATE OF FLORIDA, COUNTY OF S
ACKNOWLEDGED BEFORE ME1 T�H S
BY /6-�s1T; `Q ' r
Property Owner Qat a Date
1t�
DAY OF
JHO Is PERS64ALLY KNOWN TO
,S IDENTIFICATION.
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WHO HAS PRODUCED
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31GNAT E OF NOTARY TYPE OR PRINT NAME OF NOTARY
(SEAL)
NOTARY PUBLIC TITLE COMMISSION NUMBER
LYNNE MOORE
Comm## DD0232858
Expires 9/23/2007
Bonded thru (800)432-4254
Florida Notary Assn., Inc.