HomeMy WebLinkAboutFilled Land Affidavit ST. LUCIE COUNTY
BUILDING & ZONING
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2300 VIRGINIA AVENUE
FORT PIERCE,FL.34982-5652
s . ; .o. a .I • — 772-462-1553
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FILLED LANDS AFFIDAVIT
I, the undersigned, am the owner of the following described property: ,
232.3. -701- 0003--0-0 tGif 3 64,kS.2 Y* , /Olde--�
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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 mer 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 Property Owner Signature Date
STATE OF FLORIDA,COUNTY OF
ACKN WLEDGED BEFORE ME THIS DAY OF i .20-,3
BY _ WHO IS PERSONAL KNOWN TO ME OR WHO HAS PRODUCED
ti " AS IDENTIFICATION.
SIGNATURE OF NOTARY TYP5.OR PRINT;N - .e
DAWN MILONE
NOTARY PUBLIC TITLEC, 3I ry Public-StaFe`o1;Frar9dS )
4� $Mar:22,2017
Commission # EE 377571
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Bonded Ihrough Nauoral Notary Assn.
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