HomeMy WebLinkAboutFilled Land Affidavit n. PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building& Code Regulations Division
2300 VIRGINIA AVENUE
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FILLED LAND AFFIDAVIT .
I,the undersigned, am the owner of the following described property,
VsGA-Caro - o % ddo-�
(Parcel Id#/Legal description/Address)
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.
Property Na a(Please Print)
Property S'' ature Date
STATE OF FLORIDA,COUNTY OF
ACKNOWLEDGED BEFORE ME THIS 1 DAY OF 20
By d.3 al m S S���nny� WHO IS PERSONALLY KNOWN TO ME�OR WHO HAS
PRODUCED N L AS IDENTIFICATION.
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SIGNATURE OF NUTARY PUBLIC T I-V&yjISS10N#GG 022023
EXPIRES:December 16,2020
(SCr�a�-b`�3COMMISSIONNUMBER rFOFF�o?" Bonded ThruNolaryPublic Underwhers
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SLCPDSD Revised 04/11/2011