HomeMy WebLinkAboutFILLED LAND AFFIDAVITST. LUCIE COUNTY
BUILDING & ZONING
2300 VIRGINIA AVENUE
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FORT PIERCE. FL 34982-5652
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561-462-15M
FILLED LANDS AFFIDAVIT
the undersigned, am the owner of the following described property:
34o5-y21-0001-000•2
(Tax ID/Legal descrlpnoniAoaress)
)r which I have applied to St. Lucie County for a Final Development Permit. In accepting
)is Final Development Permit, BP Number, c(.M, 9 1/ I , I acknowledge that as
wner of the above described property, and in accordance with Section 7.04.01(D), St.
ucie County Land Development Code, I shall be responsible for assuring adequate
rainage so that the immediate community WILL NOT be adversely affected. I further
cknowledge that in granting this permit for the development of this property, St. Lucie
:ounty is neither obliged nor liable to provide for, or maintain in any form, adequate
rainage off my property which will not adversely affect the immediate community.
7t,i I t- 'D,2AIA 0-
Owner Name
ATE OF FLORIDA, COUNTY OF S T. LLLLC 1 i-
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s I2--7 )z3
Property Owner Signatu oe Date
ACKNOWLEDGED BEFORE ME THIS Z7 DAY OF W) "ty , 20 03,
BY L-"1)9-A-V'J 22 WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
AS IDENTIFICATION.
J EN N / pEf OTT DILPF-
SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
(SEAL)
NOTARY PUBLIC TITLE ►7 02y4.3 COMMISSION NUMBER
.ti�pr PUa`y JENNIFER POTTORFF
MY COMMISSION # DD 024437
_.,
EXPIRES: September 10, 2005
Bonded ThruNotatyPublioUnderwriters
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