HomeMy WebLinkAboutFILLED LAND AFFIDAVITwx
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o� DJ ST. LUCIE COUNTY S SCANNED
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BUILDING & ZONING t• Lucie Counter
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
561-462-1553
FILLED LANDS AFFIDAVIT
I, the undersigned, am the owner of the
(Tax
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.
Oroperty Owner Name Prope er Signatu Date
STATE OF FLORIDA, COUNTY OF
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ACKNOWLEDGED BEFORE ME THIS,DAYOF 20I0
AK P �SPP�FFY IV�%SNUO IS PERSONALLY OWN TO M
BYE OR WHO HAS PRODUCED
AS IDENTIFICATION.
Q-7 C v,-, k:e ,uc,
SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
C "eiy, f�LLY
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NOTARY PUBLIC TITLE COMMISSION NUMBE ' v E�
X res February 74, 7';14
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