HomeMy WebLinkAboutFilled Land Affidavit t,
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ST. LUCIE COUNTY
BUILDING & ZONING
2300 VIRGJN7A AVENUE
FORT PIERCE, FL 34982-5652
772-462-1553
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FILLED LANDS AFFIDAVIT
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} I, the undersigned, am the owner of the following described property:
#1 3n1-1 11 –o n n 1 –onn–.9 F-;q--,t- of Rpc�t-i nn 1 1-nwn-,hi p-44 Range 39E,
(Tax ID/Uga!description/Add-ss)lyi: ,g N&W of Turnpike Feede2
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I 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
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Land Development Code, I shall be responsible for assuring adequate drainage so that the
immediate community WILL NOT be adversely affected. I further acknowledge th in
granting this permit for the development of this property, St.Lucie County is neither ob iged
nor liable to provide'for, or maintain in any form, adequate drainage off my propert which
will not adversely affect the immediate community.
Property Owner Name ure..--�. Date
STATE OF FLORIDA,COUNTY OF S t- _ T,II r i p
' ACKNOWLEDGED BEFORE ME THIS DAY OF (0C-M6CX 20/4
i BY/DIg77)MW LY cF NyIVAkWHO IS PERSONALLY KNOWLLTO ME OR WHO HAS PRODUCED
AS IDENTIFICATION.
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SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
(SEAL)
NOTARY PUBLIC TITLE COMMISSION NUMBER
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DOROTHY ANN BASKIN
Notary Public-State of Flo]Assn.
! •: ;• My Comm.Expires Oct 2,2
Commission#ff 01522
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I, '•.r•+� Bonded Through National Notary
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