HomeMy WebLinkAboutFILLED LAND AFFIDAVITRECEIV70 AUG 0 3 2017
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ST. LUCIE COUNTY
BUILI)ING & ZONING
2300 VIRGINIA AVENUE
FORT PIERCE, FL-34982-5652
772-462-1553
13 M101 PIZ' 11'
am the owner
SCANNED
BY
St. Lucie County
IS-IMA-
Crax 6 �&I 1Q I - I1-- l -/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 Countyis neither obliged
nor liable to provide for, or maintain mi y form, adequate drainage off my property which
will not adversely affect the Mediat community.
Property Owner Name I .' Property Owner Signature Date
STATE OFFLORIDA, COUNTY OF J � '�tU
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ACKNOWIIDGRDBEFOREMETHIS DAYOFL)Yle- 20 /7
By F(`aJn IL 6'S h'tC WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
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SIGNATURE OFNOTARY TYPE OR PRINT NAME OF NOTARY
(SEAT.)
NO'TARYPUELIC TITLE COMMSIONNUMRER
CARLA NELSON
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Notary Public •State of Florida ,
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Commission 41 FF 985535
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My Comm. Expire Fab 26. IM
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