HomeMy WebLinkAboutFilled Land AffidavitS
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553 q�P (►
FILLED LAND AFFIDAVIT
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I, the undersigned, am the owner of the following described property,
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(Parcel I& Legal description/Address) �2— �o ee- -Oe i VC ��
for which I have applied to St. Lucie County for, a Final Development Permit. In
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accepting this Final Development Permit, BP Number 2-Do.3- 0q22, 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 L 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 Name (Please Print) p-�
51 1 A C (ZJ
Pr rty Owner Signature Date
STATE OF FLORIDA, COUNTY OF a�LLV C1
ACKNOWLEDGED BEFORE ME THIS C-)— DAY OF 20 Z O
BY WHO IS PERSONALLY KNOWN TO ME OR WHO HAS
PRODUCED
SIGNATURE OF NOTARY PUBLIC
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SLCPDSD Revised 04/11/2011 °?u
TYPE OR PRINT NOTARY
(SEAL)
O.SRN.
IDENTIFICATION.
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