HomeMy WebLinkAboutFILLED LANDS AFFIDAVITST. LUCIE COUNTY o
BUILDING & ZONING
2300 VIRGINIA AVENUE RECEIVE.
FORT PIERCE, FL.34982-5652
772-462-1553 JAN 1 1 20%
PER!411TTING
St. Lucie County, FL
SCANNED FILLED LANDS AFFIDAVIT
BY
St. Lucie Countv
I, the undersigned, am the owner of the following described property:
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(Tax ID/Legal description/Address)
�VL.TJ-iilK6'b t.0r yFs
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.
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Property Owner Name Property Owner Signature Date
STATE OF FLORIDA, COUNTY OF V / ZUC; E
ACKNOWLEDGED i BEFORE ME THIS � DAY OF a £G4M /S2-, 201�
BY Ryw caws NyWHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
AS IDENTIFICATION.
SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
(SEAL)
NOTARY PUBLIC TM E COMMISSION NUMBER
WVY""� PAMCIAA:STANf014
My COMMISSION 4 FF112242
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