HomeMy WebLinkAboutFILLED LAND AFFIDAVITJL�E COG ST. LUCIE COUNTY
y BUILDING & ZONING
23 VIRGIIRAAVENUE
FORT PIERCE, FL 349M,%52
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FILLED LANDS AFFIDAVIT
I, the undersigned, am the owner of the following described property:
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SCANNED
BY
St. Lucie County
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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 07&3 001 Lf , 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 Proper Owner Signature Date
STATE OF FLORIDA. COUNTY OF S L U Gl fc—
'ACKNOWLEDGEDBEFORE ME THIS 1'1DAY OF FGB .2007
BY -ro 14 L�- LJO I2W N WHO Is ERSONALLY KNOWN TO ME DR WHO HAS PRODUCED
AS IDENTIFICATION.
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tS�NATUR -OF NOTARY TYPE OR PRINT NAME OF NOTARY
(SEAL)
NOTARY PUBLIC TITLE
COMMISSION NUMBER
. ep'�'T� 7ENIVIFER GRANDPRE
��� MYLVMMISSIONI DD503370
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