HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRG1IVIA 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) r
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 Own e ame (Please Print)
Property Owner Signature Date
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STATE OFfE99914, COUNTY OF 0rn1g-(.aA
ACKNOWLEDGED BEFORE ME THIS XJSt DAY OF 7CAA tKPr,4 20 7-00WHO IS PERSONALLY KNOWN TO ME (EI) OR WHO HAS
COMMISSION NUMBER
SLCPDSD Revised 04/I I/2011
AS IDENTIFICATION.
(SEAL)
VANCE KIRKWOOD
Notary Public - State of Michigan
County of Macomb
My Commission Expires Mar 1 a, 20z6
Acting in the County of Q&Kjnnd