HomeMy WebLinkAboutVarnadore Filled Lands Affidavit� x
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PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
FILLED LANDS AFFIDAVIT
I, the undersigned, am the owner of the following described property,
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(Parcel ld#/Legal description/Address) 4-+3 b v- r Ci r
for which I have applied to St. Lucie County for a Final Development Permit. I
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 Name (Please Print
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Property-- a ature Date
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFORE ME THIS r � _ DAY OF
BY )A JrV it a i K i I'TPl Uai,
E OF
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SLCPDSD Revised 08/24/2010
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LVL WHO IS PERSONALLY KNOWN TO ME OR WHO HAS
AS IDENTIFICATION.
PUBLIC TYPE OR PRINT NOTARY
SSION NUMBER "a0 pu Notary Public State of Florida
a° Rr Francene Newman
{SEAL m, < My Commission GG 221434
oE�od Expires 05/23/2022