HomeMy WebLinkAboutFilled Land Affidavit,,
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PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
23oa VIRGINIA 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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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.
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Property Owner Nam (Please Print)
T Q—lo - 20
9W y Ownei Signature Date
STATE OF FLORIDA, COUNTY OF St Lucie
ACKNOWLEDGED BEFORE ME THIS ,t� l� {a� DAY OF r 20 20 .
BYl1GrYllh \Nlolr �ICC(�{t1Ll T`hrw}{�'OIS PERSONALLY KNOWN TOME(A )OR WHO HAS
PRODUCED AS IDENTIFICATION.
�• h1L� a h Paula S. Breier
��YYSII+GNATURE OFZNOT ! PUBLIC TYPE OR PRINT NOTARY
1117 03Q 8 LiJ COMMISSION NUMBER
SLCPDSD Reviwd 04/112011
(SEAL)
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