HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA 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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(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.
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Property Owner Name (Please Print)
Property Owner Signature Date
M1ch39aw STATE OF4t6Ri9A, COUNTY OF 0A. y KUrA
ACKNOWLEDGED BEFORE ME THIS 13 sl DAY OF -0.A IA" Ir 207=0-_
BY� h� ,�.aSF/✓yxR�C5%f:i�HO IS PERSONALLY KNOWN TO ME (El OR WHO HAS
PRODUCED
COMMISSION NUMBER
SLCPDSD Revised 04/11/2011
IDENTIFICATION.
TYPE
Ur OR PRIM NOTARY K cK ODD
(SEAL)
VAN
Notary PublKW
ic -State of Mlchlpen
County of Macomb
My Commisslon Expires Mar fa, 2 26 Acting In the County of ���