HomeMy WebLinkAboutFILLED LAND AFFIDAVITST. LUCIE COUNTY
BUILDING &ZONING
2300 VIRGINIA AVENUE
FORT PIERCE. FL 34982-5652
561�62-1553
FILLED LANDS AFFIDAVIT
1, the undersigned, am the owner of the following described property:
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SCANNF-D
BY
St. Lude COUntY
Gor Lvq-,-
-for-which4-have-applied-to-St-Lucie-County-for-a-FinaLDe-velopmerAPeTmit.-[n-acce ting
this Final Development Permit, BP Number I 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
BY
Property OL:�Ignature Date
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BEFORE ME THIS DAY OF
20�04
WHO HAS PRODUCED
TO ME
AS IDENTIFICATION.
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IGN URE OF: NOT Y TYPE OR PRINT NAME OF NOTARY
(SEAL)
NOTARYPUBLIC ITLE COMMISSION NUMBER
LYN a
c mmo OD0232858
(IM "13D
_ 07
ExpIrGs 912312007
Bonded thru =(800)432-4264
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Fjorldallola Assn.,Inc.