HomeMy WebLinkAboutFilled Land AffidavitPLANNING OR DEVELOPMENT SERVICES DEPARTMENT
• Building & Code Regulations Division
ad 2300 VIRGIN7A 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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(a Sk
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number
ge
that as owner of the above described property, and in accordance lwith 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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Date
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Property tom• glalure —o
STATE OF FLORIDA. COUNTY OF S�C t
ACKNOWLEDGED BEFORE ME THIS: C/ "A DAY OF Q Lk. P. k
20 a't7
BY- WHO IS PERSONALLY KNOWN TOME( X lOR WHO HAS
PRODUCED
1� AS 'IDENTIFICATION
iUBL'CS NATUREOFN r-AR-AIL�AQ� aI JU�+NfpH
TYPE OR PRINT NOTARY
(MGo84Bal COMMISSION NUMBER
(SEAL)
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SLCPDSD Revised 04/11/2011
RICHARD DOUGLAS JOHNSON
Wary Puhiic -Siem of Rol
COmmisso. N GG 004821
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My Comm. Expires Mar 20.2021
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