HomeMy WebLinkAboutFilled Land AffidavitRECEIVED
FEB 0 61010
permitting Department
St. Lucie Count,
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGRUA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
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for which I have applied to St. Lucie County for a F• al 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 Name (Please Print)
Protferty Owner Signature Date
STATE OF FLORIDA, COUNTY OF !/'{/N'T 'LUC/h
ACKNOWLEDGED BEFORE ME THIS. DAY OF�� �20J�,
BY m�cj & Mclt�I.' SPERSONALLY KNOWN TO ME GaOR WHO HAS
PRODUCED
COMMISSION NUMBER
SLCPDSD Revised 04/I W011
IDENTIFICATION.
(SEAL)
ARWEN DADAMS
?� •`. Notary Public - State of Florida
sx®Pi Commission AGG 272920Iar My Comm. Expires Oct 31, 2022
Bonded through National Notary Assn.
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