HomeMy WebLinkAboutFILLED LANDS AFFIDAVITST. LUCIE COUNTY
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FILLED LA"-NrDS AFFIDAVIT
1, the undersigned, am the owner of the following described property:
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I-12T 3�,?::i::�;"i57L-gia.descriptiontAcs ess) I Development Permit. In accepting
for which I have applied to St. Lucie County for a Fina I acknowledge that as
this Final Development Permit, BP Number .0 1 (D), St.
described property, and in accordance with Section 7.04.
owner of the above ode, I shall be responsible for assuring adequate
Lucie County Land Development C munity WILL NOT be adversely affected. I further
drainage so that the immediate com
t�e—�eveiopment of this property, St. Lucie
acknowledge that in granting this permit for r maintain in any form , adequate
County is neither obliged nor liable to provide for, o
drainage off my property which will not adversely affect the immediate community.
property Owner Name
Property Owner Signature Date
STATE OF FLORIDA. COUNTY OF d-1
101� 20-.
AC!KiNO LEDGE EFOPtE ME THIS _Lg�__DAY OF A�WN T 'ME OR WHO HAS P . RODUCED
AS IDENTIFICATION-
QSIGN UiRE OF NOT?ARY TYPE OR PRINT NAME OF: NOTARY (SEAL)
COMMISSION NUMBER
NOTARYPOI-1-9-TITI-E
LINDA C. GRANT
Notary Public, State of Florida
MY comM. exii. Mai. 10, 2005
Comm. No. DO 00584�