HomeMy WebLinkAboutFILLED LAND AFFIDAVIT4
ST. LUCIE COUNTY
BUILDING &ZONING
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
661-462-15M SCANNED
BY
St. Lucie Countv
FILLED LANDS AFFIDAVIT
1, the undersigned, am the owner of the following described property:
8114.—S'a4 CARNWS-nz— t-�V-
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
STATE OF FLORIDA, COUNTY OF.
ACKNOWLEDGED BEFORE ME
BY
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Property Owner ignature Date
OF 2 O��.'
3 P To M W
ERS �ALLY KNOWN HO HAS PRODUCED
IDENTIFICATION.
TYPE OR PRINT NAME OF NOTARY
COMMISSION NUMBER
LYRE 'MOORE
commit DW23285'
Expires 9M2007
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(Wol
Banded thru (M)432-4254
2
c.
3n., In]
Florida N is Assn., Inc-
(SEAL)