HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
o Building & Code Regulations Division
2300 VIRGINIA•AVENUE
FORT PIERCE FL 34952-5652
(772)462-1553 - RECEIVED
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described. property,
DEC 0 8 2019
ST. Lucie County, Permitting
01-no" _DOO-9 9.207 0A
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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 Na a (Pleaso Print) .
Property Owiie Signature Date
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STATEOF COUNTY OF s1���4L
•ACKNOWLEDGED,BEFOREMETHIS dS/ D YOF W4P (GI`'!ii6(�.20
BY)WARK &)Y�� Q WHO.rS PERSONALLY KNOWN,TOME rJZOKWHOHAS
Denise M. SudlftV Bid
N�Na 01a 20889 Y
Clluali0ed in Suffolk Counw
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