HomeMy WebLinkAboutFILLED LANDS AFFIDAVITST. LUCIE COUNTY
}, DEPARTMENT OF COMMUNITY DEVELOPMENT �C
T • 2300 VIRGINIA AVENUE, ROODS 201 Y�EL)
FORT PIERCE, FL 34982-5652 C
407-462-1553 at
LW CI a county
FILLED LANDS AFFIDAVIT
I, the undersigned, am the owner of the following described property, l.oA- tali
9l S0.cact� bcoel: A1�Ue 3�+-?I- SD -a - Cos 8-bt,rf%
(tax ID/legal description/address)
four 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),
Stl. 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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STATE OF FLORIDA, COUNTY OF 1iL P�
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Property- n
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FOREGOING INSTRUMENT WAS ACKNOWLEDGED BEFORE ME THIS o q DAY OF )UV e.M LPV 19��
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WHO PERSONALLY KNOWN TO ME R WHO HAS PRODUCED
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SIGNATURE OF NOTARY TYPE F
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NOTARY PUBLIC TITLEi"�de.� eynwev
Notary Public, State of Florida
My Comm. Expires March 28,19
AS IDENTIFICATION.
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SLCCDV FORM NO.: 011.00