HomeMy WebLinkAboutFILLED LAND AFFIDAVITST. LUCIE COUNTY
BUILDING & ZONING
2300 FORT PIERCE, 3 8AVENUE52 BAN 2 8 2016
772-462-1553 PER!y7i-I
Ala
St. Lucie County, FL
FILLED LANDS AFFIDAVIT SCANNED
BY
St. Lucie Countv
I, the undersigned, am the owner of the following described property:
/4/7_S Z 20 (9p0 / 000 /
(Tax ID/Legal description/Address)
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.
Property Owner Name Property Owner Signature Date
STATE OF FLORIDA. COUNTY OF v' • bwe-,
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ACKN�O_ UEDGED BB��F'ORE METHIS C2� DAY OF ZasA
B�, �O Y) Ili/ aC l � WHO IS PERS ALLY KNOWN TO ME OR WHO HAS PRODUCED
NOTARY PUBLIC TITLE
IDENTIFICATION.
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TYPE OR PRINT NAME OF NOTARY .
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