HomeMy WebLinkAboutFILLED LANDS AFFIDAVITST. LUCIE COUNTY
4p y j BUILDING &ZONING ECAIVNED
2300 VIRGINIAAVENUE
��ORiOP FORT rlOMF-r� sssz fit. By
Lucie County
FILLED LANDS AFFIDAVIT
I, the undersigned, am the owner of the following described property:
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for which 1 have applied to St. Lucie County dlfor 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
STATE OF FLORIDA. COUNTY OF (I .L.L( CI
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Owner Signature Date
ACKNOWLEDGED BEFORE ME THIS DAY OF_'�yC
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BY�JDQ11`(U eclir� /S
ntJu�t�3iYN/HO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
G[O`rt ca Y I�:.<,dS LtC 17 2 AS IDENTIFICATION.
SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
NOTARY PUBLIC TITLE I) D(�U4S a' COMMISSION NUMBER— - iSEAL)
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ENEN.HAAS
ublic, State of Florida
oxpires,tuna 12, 2011....:..�.r�..�T4.,
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