HomeMy WebLinkAbout0710-0338 FILLED LANDS AFFIDAVITST. LUCIE COUNTY
BUILDING & ZONING
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34962-5652
462-1553
FILLED LANDS AFFIDAVIT
I, the unIIdersigned, am the owner of the following described property:
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(Tax ID/Legal description/Address)
for whic I have applied to St. Lucie County for a Final Devel ent Permit. In accepting
this Fin�l 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
acknow edge 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
drainag off my property which will not adversely affect the immediate community.
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Owner Name
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Property Owner Signature Date
STATE OF FLORIDA, COUNTY OF a '
ACKNOWL Da'GEED BEFOR
�E ME THIS DAY OF 20�
BY 1LWHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
' AS IDENTIFICATION.
SIGNA
OF NOTARY TYPE OR PRINT NAME 40TARY
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