HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL34982-5652 RECEIVED
(772) 462-1553
FEB 13119
S-r. Lucie County, Permitting
I, the undersigned, am the owner of the following described property,
a.7JATM=
(Parcel
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.
T o6 Kopt.r5
Property Owner Name (Please Print)
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Prop Owner Signature- Date
STATE OF FLORIDA, COUNTY OF SOLM f L•GiGG COUn'fx
ACKNOWLEDGEDBEFOREMETHIS 13 DAY OF `A-�r
20 a`n
BY WHO IS PERSONALLY KNOWN TO ME (El OR WHO HAS
PRODUCED AS IDENTIFICATION.
/SIGNATURE OF N ARY PUBLIC
VCtoa�a"'�1 CONMUSSION NUMBER
SLCPDSD Revised 04/112011
TYPE OR PRINT NOTARY
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EXPIRES: D 2020
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