HomeMy WebLinkAboutFILLED LAND AFFIDAVITST. LUCIE COUNTY
BUILDING & ZONING
2300 VIRGINIA AVENUE Qg65 ^ D
FORT PIERCE, FL 34982-5652
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FILLED LANDS AFFIDAVIT
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I, the
(Tax ID/Legal description/Address)
SCANNED
BY
St. Lucie Coupty
for which I have applied to St. Lucie County for a Final Development Permit. In accepting
this Final Development Permit, BP Number Q?Q5I 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.
Property Owner Name Prop Owner Sismanrre Date
01510;d
STATE OF FLORIDA, COUNTY OF PALM BE AC-%1
ACKNOWLEDGED BEFORE ME THIS k6 DAY OF .20�r�
f
BY NNID 1\ARAMS WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
AS IDENTIFICATION.
L )I 1�g- V --%00
SIGNATURE OF NOTARY
NOTARY PUBLIC TITLE
TYPE OR PRINI-rvscmc i
— ,COMMISSION NUMBSRS04 --
�,toYac. Notary Public State of Florida
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"rgnos Expires 10Y132009