HomeMy WebLinkAboutFilled Land Affidavit PLANNING&DEVELOPMENT SERVICES DEPARTMENT RECEIVED
ICOUN Building&Code Regulations Division
• 2300 VIRGINIA AVEI3UE MAR 1 � 0
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PORT PIFd M FL 34982-5652,
(772)462-1553. ST. Lucie County, Permitting
FILI"LAND AFFIDAVIT
I,the undersigned,am the owner of the following described property,
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(Parcel IdMegal 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 shalt be responsible for assuring
adequate drainage so' that the immediate community. WILL NOT be adversely affected.
I farther 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 farm„
adequate drainage off my property which will not adversely affect the immediate
community..
Pr arty er Name(PIease Print)
Owner i e Date .
STATE OF FLORIDA,COUNTY OF �A& +(A W
ACKNOWLEDGED
ff BEFORE ME THIS DAY OF H M.C,h��
BY> C{YU anWHO I5 PERSONALLY KNOPIN TO ME OR wHO HAs
PRODUCED AS IDENTIFICATION.
S ATURE OF NOTARY PUBLIC TYPE OR RINT NOTARY
CZq j() COM IISSION NUMBER
( ) 40%:% RAQUEL D QUEEN YOUN4
Cammlaelers#GCs 302084
f tp` Expires February 18,2023
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SLCPDSD Revised 04/11!241 I