HomeMy WebLinkAboutFilled Lands AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
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2300 VIItGINIA 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) l
for which I have applied to St. Lucie County for a Final Development Permit, In
accepting this Final Development Permit, BP Number AfMQAiLik, I acknowledge
that as owner of the above described property, and in accordance with Section
7.04.0l(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 prof erty,
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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Date
STATE OF FLORMA, COUNTY OF .Jf � LV G I _e,
ACKNOWLEDGED BEFORE ME THIS 134-1' DAY OF r- & UQ Y 4 . 20 aD .
BY Mv.� nmd WHO IS PERSONALLY KNOWN TO ME ( 1) OR WHO HAS
Fl" I b / )% / COMMISs10N NUMBER
SLCPDSD Revised 04/11/2011
TYPE O�TARY
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