HomeMy WebLinkAboutFilled Land Affidavit RECEIVED
JA-5'I '
DEC 0 7 2016 N
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PERMITTING K _�, R7 t
St.Lucie County,FL PLANNING&DEVEWPMff SERVICES DEPAIITWNT
BUILDING&CODE REGULATIONS DIVISION
2300 M RG1 MAAVENUE
FORT PIERCE,FL 34982-5652.
M2)462-1--M
LEID IA"S A A V ff
I,the undersigned,am the owner of the following described perry,
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re1 MNLegat description/Address) ,
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for which I Have applied to St. Lucie County for. a Final Development Permit. In
accepting this Final Development Pern it, BP Number , I acknowledge
that as owner of the above described property, and in accordance with Section
7.04.0I(D),St.Lucie County Land Development Code,I sball 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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Prqp)iqy Owner Name(Please Print) _
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PAY Owner Sigaatme
Date .
STATE OFFLORIDA,COUNTY 0r-a ae-06h
AGKN0WLWGED REE BEFOU -MS _. DAY OF/ -)00"kp_er ZQ �GIS
BY "!5r- C a e� WHO is PERSONALLY KNOWN TOME✓ OR WHO HAS
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EXPIR�g�pt8mber25,2019
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