HomeMy WebLinkAboutFilled Lands AffidavitPLANNING & DEVELOPMENT SERVICES
VICES DEPARTMENT
• Building & Code Regulations Division
2300 VIRGINIAAVENL*- �o�y
111�IOr FORT PIERCE, FL 34982-5652
(772) 462-I553
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FILLED LAND AFFIDAVIT
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I, the undersigned, am the owner of the following described property,
7`bGb ,Siin ,� Nud. r-6tom-001-000-I
(Parcel Id#/Legal description/Address)
for which I have applied to St. Lucie County for la Final Development Permit. In
accepting this Final Development Permit, BP Number 2 W -V3g,Y , 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.
ZUi/liar» iruarl Adams
Property Owner Nam (Please Print)
�r e��
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STATE OF FLORIDA, COUNTY Os� ( a '(t '
ACKNOWLEDGED BEFORE ME THIS IV DAY OF ��
BY(A/IIl1A.m ad �� f WHOISPERSONALLY
PRODUCED
(��•7Gd�SIGNATURE OF NOTARY PUBLIC TYPE
41 a COMMISSION NUMBER
SLCPDSD Revised 04/11/2011
20 /9
ME U OR WHO HAS
AS IDENTIFICATION.
(SEAL)
a : PATRICIA ANN GRIFFIN
MY COMMISSION # GG137024
r EXPIRES September 26,2021
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