HomeMy WebLinkAboutFILLED LAND AFFIDAVIT�JL\6COGy ST. LUCIE COUNTY
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2PIERCVIRGIE.
F AVENUE
FORTT P PIERCE, FL 349825652
F�OR,Op 561462-1553
FILLED LANDS AFFIDAVIT
I, the undersigned, am the owner of the following described property:
SCANNED
BY
St. Lucie County
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.
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Property Owner Name P erty. Owner Siva ❑re Date
STATE OF FLORIDA, COUNTY OF • hziei,5�
ACKNOWLEDGED BEFORE ME THIS 10 DAY OF .20 L2
BY21;;hn fkt C��1" ( WHO IS PERSONALLY KNOWN TO ME OR WHO HAS CPRRODUCED
FClo �/�' (� AS IDENTIFICATION. 4-� "i ///
SIGNATURE OF OTARY TYPE OR PRINT NAME OF NOTARY
(SEAL)
NOTARY PUBLIC TITLE COMMISSION NUMBER