HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTME9A-�p+'
Building & Code Regulation's Division A°PQ `pip
2300 VIRGINIAAVENUF c" d?
FORT PIERCE, Fl, 34982-5652
(772) 462-I553 i
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
)IIYCh Or
(Parcel
for which I have applied to St. Lucie County for i a Final Development Permit. In
accepting this Final Development Permit, BP Number 2 a--Q--01 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.
Oda MS
Property weer Name (Please Print)
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STATE OF FLORIDA. COUNTY OF -SA
ACKNOWLEDGED BEFORE ME THIS �i� DAY OF sian9a V-L 20 a.D
BY-bMj-r n A CA A m t WHO IS PERSONALLY KNOWN TO ME CAJ OR WHO HAS
PRODUCED
IDENTIFICATION.
SIGNATURE OF NQUrARY LIC
TYPE OR PRINT NOTART
GGO$+18i1 COM SIGN NUMBER
(SEAL)
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RICHARD DOUGLAS JOHNSON
SLCPDSD Revised O4/112011
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My Comm. Expires Mar20.2021
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