HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462.1553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
1 09 M Q fG rl o CAV4 1311- 100- OOLPCI- 000-
(Parcel Idk/Legal 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 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 ofthis 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 Gwner Name (Please Prmt) ((\/22{JI%Q1j 141�1 1t�f
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v�a �t �w ee Date
STATE OF FLORIDA. COUNTY OFIV 1 I I/� C I
ACKNOWLEDGEDBEFOREI{/ttpMEE1THI1S_. 9 DAY OF ► / t a r C � 20 1p 0
BY . r G rN W o/1n& WHO IS PERSONALLY KNOWN TO ME ILK) OR WHO HAS
PRODUCED
tI�1 1 AS ,IDENTIFICATION.
NATUREOFN r UBLIC "t�'�A4� nl A �iDNNJON
TYPE OR PRINT NOTARY
&&-92 SA1 COMMISSION NUMBER
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RICHARD DOUGLASJ0h'N50N
Idolary Nblic -State of Floiida
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COMMIonp GG 084821
SLCPDSD Revised 04/II/2011 �\l�
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My Comm. Expires Mar 20,2021
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