HomeMy WebLinkAboutFILLED LAND AFFIDAVITthe undersigned, am the owner of the
(Tax ID/Legal description/Address)
ST. LUCIE COUNTY
BUILI)ING & ZONING
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
772-462-1553
FILLED LANDS AFFIDAVIT SCgNNED
St CucSy
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for which I have applied to St. Lucie County for a Final Development Permit. In accepting
this Final Development PemTit, 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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;ropexty Owner Name Property Owner Signature Date
STATE OF FLORIDA, COUNTY OF Jt ue'l e
ACKNOWLEDGED BEFORE ME THIS // DAY OF• 20 1
BY fi (joon / 1 / V& &u WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
FL DR I upwe5 AS IDENTIFICATION.
W •a =��w t
SIGNATURE OF NOTARY
NOTARY PUBLIC TITLE
.•o;.+"°pan, MARIE E. ECKERT
• ,° = Notary Public - Stale of Florida
' My Comm. Expires Dec 16, 2016
Commission i EE 858669
a 9. em i5- /
TYPE OR PRINT NAME OF NOTARY
C-'!5r0 5 go/I?o MI(SEAL)
COMSSION NUMBER