HomeMy WebLinkAboutFILLED LAND AFFIDAVITST. LUCIE COUNTY
-c RCANNED. BUILDING & ZONING
r BY 2300 V►RGINIA AVENUE
FORT PIERCE, Ft 349B2-5652
• F. ... • . Lucie Court y 4e2-1553
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FILLED LANDS AFFIDAVIT
1, the undersigned, am the owners of the following described property:
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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 . 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.
Property Owner Name
STATE OF FLORIDA. COUNTY OF
ACKNOWLEDGED BEFORE ME THIS
BY 1114111- 1- I90V VKA,40%1
SIGIZATURE OF •
NOTARY PUBLIC TITLE
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Property Owner Signa . re Date
YOF IMAI .2l) 0�
VHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
IDENTIFICATION -
TYPE OR PRINT NAME OF NOTARY
COMMISSION NUMBER (SEA!)
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Notary Public State of Florida
Jennifer Pottorff
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My Commission DD445478
Expires 09/10/2009 '