HomeMy WebLinkAboutFILLED LAND AFFIDAVIT4P
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ST. LUCIE COUNTY
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BUILDING 8 ZONING
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FOR PP% F1392FM
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FILLED LANDS AFFIDAVIT
I, the undersigned, am the owner of the following described property_
SGAMYE®
BY
St• Lucre CoaW
• 1d"' WeLegai ddseripOoNAddress)
for which'I have applied to St. Lucie County for a Final Development Permit. In accepting
this Final Development Permit, BP Number 0-11 1 =�3p I acknowledge that as
owner of the above described property, and in accordance with Section acknowledge
as
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 P Y w ner Name Property Owner Signature Date
STATE OF FLORIDA. COUNTY OF .. ti . QIUFl
ACKNOWLEDGED BEFORE ME THIS--r—L__-DAY OF
aY�� �LhQrerortbio 'z°M .
�I WHO I P SONALLY KNOWN O ME OR WHO HAS PRODUCED
AS IDENTIFICATION.
IGNgTURE OF NOTARY
TYPE OR PRINT NAME OF NOTARY
NOTARY Pueuc TITLE D (SEAL)
COMMISSION NUMBER
?v, ROBIN E tANO
.- MY CONMISSIDNBDD845493
' ' € EXPIRES A7arc>t 19, 2011
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