HomeMy WebLinkAboutFILLED LAND AFFIDAVITST. LUCIE COUNTY
BUILDING & ZONING
2300 VIRGINIA AVENUE
FORT PIERCE, FL34982-5652
772-462-1553
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I, the undersigned, am the owner of the following described properrt�yY:
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(Tax ID/Legal description/Address)
for which I have applied to St. Lucie County for a Final Development Permit. rn 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.
/7
Property Owner Name Property Owner Signat—u-rd-� Date
STATE OF FLORIDA, COUNTY OF C &
ACKNOWLEDGED BEFORE METHLS �DAYOF o�L 20
BY 4zP✓���W�"—�— WHO IS PERSONALLY KNOWN TO ME OR WBO HAS PRODUCED50 AC IDENTIFICATION. "
SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
NOTARY PUBLIC TTnE 7_6O_/'f COMMISSIONNUMBER (SEAL)
LYNN M. SPRECNER
MY COMMISSION t FF 140N9
EXPIRES: July 10, 2018
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