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HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT Building & Code Regulations Division 2300 VIRGI IA AVENUE FORT PIERCE,, FL 34982-5652 (772)462-1553 FILLED LAND AFFIDAVIT I, the undersigned, am the owner of the following described property, ivov�aay/D�TNt�iPARTOFL�fiB�-/Y,� /f'F:Y6RCF FL..3y��Z deseription/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. P'S&VI erye., Pewee Property Owner Name (Please Print) roperty Owner Signature Date Ktc1s1�fkn STATED W-OPASOn-COUNTY OF OCA,iA"& ACKNOWLEDGED BEFORE ME THIS S�DAYOF ADNU.tM�\t 20 ZO, BYrGDrfl"'GJ WHO IS PERSONALLY KNOWN TOME(�ORWHO HAS PRODUCED M ` Cl>\� q CHIN I., ,I�t (� «r%C C AS IDENTIFICATION. yo>++�-1 ���t""'►�`y*� Ve,nce KS r lfiwco SIGNATURE OF NOTARY PUBLIC TYPE OR PRINT NOTARY COMMISSION NUMBER SLCPDSD Revised 04/11/2011 (SEAL) VANCE KIRKWOOD Notary Public - State of Michigan County of Macomb My Commission Expires Mar f8 2026 Acting In the County of 1 PLANNING & 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, 24Z7401-0060- 0%yzwor eF tey lyo-lu A - P ERer F.t .31V9i? L (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. Property Owner Name (Please Print) 3! 7"0;,-v roperty Owner Signature Date MtMfkn 1 STATE OF4LQR190q COUNTY OF ©c\m" & ACKNNOOWLEDGEDD BEFORE ME THIS Z1 S� DAYOF_�p�(Al-Al 1�j 20 Zl7 BY / r/I�D /Y 05 WHO IS PERSONALLY KNOWN TO ME ([) OR WHO HAS PRODUCED M ` c�h� �g c-a\ ��� r10 r �(L1.t Le r%S C AS IDENTIFICATION. ynv+�-1 ��fl�w►Vw�-f1� Vat1Ct_ l`�S t` �i W o D 1� SIGNATURE OF NOTARY PUBLIC TYPE OR PRINT NOTARY COMMISSION NUMBER SLCPDSD Revised 04/11/2011 (SEAL) VANCE KIRKWOOD Notary Pub11c -State of Michigan County of Macomb My Commisslon Expires Mar 1S 2026 Acting In the County of�