HomeMy WebLinkAboutFilled Land Affidavit. =: �`.: = <_. •.;;...;, PLANNING & 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,
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(Parcel Id#/Legal description/Address)
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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 that as owner of the above described property, and in accordance I witlh MowleSection
7.04.01(D), St. Lucie County Land Development Code, I shall be responsible for assuring
adequate drainage so that the immediate community WILL be adversely affected
I further acknowledge that in granting this permit for the development of this propert
St. Lucie County is neither obliged nor liable to provide for, or maintain in an
adequate drainage off m r Y,
community.
Y property which will not adversely afTect the immediate �
Property Wner Name (please Print)
Property ignature SI �IJa�
Date
STATE OF FLORIDA. COUNTY OF S f _ C' ji
ACKNOWLEDGED BEFORE ME THIS_
DAY OF _ 1'1f1 a `,� ^
BY AC(Q r� y 20_ CY O
WHO IS PERSONALLY KNOWN TO ME ( ^ 1 OR WHO HAS
PRODUCED
ll AS IDENTIFICATION,
S NATURE OF N rAR UBLIC �IL�nAQ� u�Q�rt� JO�N
r r rt UR PRINT NOTARYV OH
4 1 COMMISSION NUMBER
(SEAL)
•�,1nµ� pr'p ,
RICHARD DOUGLAS JOHNSON
SLCPDSDRevised 04/11/201I
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