HomeMy WebLinkAboutFilled Land Affidavit •PLANNING&DEVELOPMENT SERVICES ..
C7-1uNTBuilding&Code Regulations Division
CO N _FLORIDA 2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
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I,the undersigned, am the owner of the following described property,
/ L 7 t IL LI • CC)-2-k . . D O -
(Parcel Id#/Legal 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 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.
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Prope Owner Name(Please Print) •
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Pr t I erty 0 -r Signature Date
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STATE OF FLORIDA,COUNTY OF 5 f QC— •
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ACKNOW DGED BEFORE ME THIS /`7 DAY OF cf /
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BY /�. KG-6tei S cidte4VHO IS PERSONALLY KNOWN TO ME(EI)OR WHO HAS
PRODUCED✓ P L/t) AS IDENTIFICATION.
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SIGNATURE OF NOTARYL UBLIC TYPE OR PRINT NOTARY
COMMISSION NUMBER
(SEAL) .
HEATHER BURFORD
�`YPState of Florida-Notary Public
'./�� Commission #GG 183217
' SLCPDSD Revised 04/11/2011 :;1w I I''�`: My Commision Expires
• ''�n$;;�``�� February06, 2022