HomeMy WebLinkAboutFilled Land Affidavit 01/06/2011 02:13 1 ENILIA PAGE 03/06
PLANNING& DEVELOPMENT SERVICES DEPARTMENT
Building&Code Regulations Division
2300 VIRGINIA AVI;NM
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 IdAfLepl 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 Laud Development Code,I shall be responsible for assuring
adequate drainage so that the immediate community HML NOT be adversely affected.
I further acknowledge that in granting this p==t 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.
Prop Own anne()Please print,))
ropertyOwer Si afore ate
STATE OF FLORIDA,COUNTY OF oR7 5
A
2E hIE rEI1S D DAY OF WHO IS PERSONALLY)KNOWN TOME(�OR WHO EAS
AS IDENTIFICATION.
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o O ARY P TYPE OR PRINT NOTARY
dI lT /1617 COMMISSION NUMBER
(S6A.L)
M.ROMAN
SLCPDSD Revised(WI V201I MyCOMImSSION#GGa s3ga2
IISXNDIRIA
EXPIRES.JaTlUgfy 03.2022