HomeMy WebLinkAboutFilled Land Affidavit ` PLANNING & DEVELOPMENT SERVICES DEPARTMENT
i 1 , Building & Code Regulations Division
_ 2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652
772 462-1553 RECEIVED
SEP
2 2 7020
FILLED LAND AFFIDAVIT
Permitting Department
St.Lucie County
I,the undersigned, am the owner of the following described property, °�"a�I
a
(Parcel Id#/Legal description/Address51K
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for which I have applied to St. Lucie County for a Final Development )rmit. 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.
Property Owner Name(Please Print)
- ®�
Property Owner Signature Date
I r
STATE OF FLORIDA,COUNTY OF L
ACKNOWLEDGED BEFORE ME THIS 2Z DAY OF
BY WHO IS PERSONALLY KNOWN TO ME([a OR WHO HAS
PRODUCED C_ AS IDENTIFICATION.
SI AT O OT P IC �RN11 O ARY
CO ISSION NUMBER
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