HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
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FORT PIERCE, FL 34982-5652
(772) 462-1553
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FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
/lei 111%PRWL avy , lyet soon Phi?!f, �>^ 3�f9s/ - IDA 4-jzg_ �45�_
(Parcel Id#/Legal description/Address) Xp %/.�.) i3��xy
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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Property Owner m se int)
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Property wner Ignature D to
STATE OF FLORIDA, COUNTY OF�C,v
ACKNOWLEDGED BEFORE ME THIS !.C\ DAYOF Ry-.> I�I .20 ICJ,
BY O�(�S R®� C:LtC�� WHO IS PERSONALLY KNOWN TOME (IJ) OR WHO HAS
PRODUCED AS IDENTIFICATION.
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SIGNATUREOFNOT UBLIC TYPE RP JR�T NOTARY �_j
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SLCPDSD Revised 04/11/2011
ELLEN VAUGHN
;`e ° .,State of Florida -Notary Public
y = Commission s GG 270079
-;�, My Commission Expires
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