HomeMy WebLinkAboutFILLED LAND AFFIDAVITST. LUCIE COUNTY
BUILDING & ZONING SCANNED
2300 VIRGINIA AVENUE BY
�00 NTY FORT PIERCE, FL 34982-5652 St. Lucie Countv
o R I . 772462-1553
:RECEIVED
FILLEDLANDSAFFID 0 020193T. 611ntyr RAI'MIMing
the undersigned, am the owner of the following described
(Tax ID/Legal
for which I have applied to St. Lucie County fora 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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P.inp '�� Owner Name 4 "L g Signature
Pro � ert ner Si afore Date
STATE OF FLORIDA, COUNTY OF L.0 CI
ACKNOWLEDGED BEFORE M� EpTHIS DAY OPfflUAGh, 20 1
BY�-ii )(Aham/&A-9-1 WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
FU � AS IDENTIFICATION.
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SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
(SEAL)
NOTARY PUBLIC THIE COMMISSION NUMBER
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ANNEMARIE SINGER
Notary Public - State of Florida
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Commission a GG 085884
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My Comm. Expires Mar 22, 2021