HomeMy WebLinkAboutFilled Land Affidavit G
PLANNING &DEVELOPMENT SERVICES DEPARTMENT RECEIVED
COUNTY Building& Code Regulations Division
2300 VIRGINIA AVENUE NOV 1'2 2020
FORT PIERCE,FL 34982-5652
(772)462-1553 Permitting Department
5t, Lucie CounW
FILLED LAND AFFIDAVIT
I,the undersigned, am the owner of the following described property,
(Parcel I&ILegal descriptio ddress)
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.
operty er Name(Please Print) 74
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rtyOvy6k&#A e— Date
STATE OF F COUNTY OF
ACKN0 DGED FORE THIS DAY OF lA/ I����+�F_ L� 20�
BY d — fti ( O IS PERSONALLY KNOWN TO ME OR WHO HAS
AS IDENTIFICATION.
c �JJ/� M N
7,s/7
IAT OF NOTAR LIC TYPE OR PRINT NOTARY
COMMISSION NUMBER
(SEAL)
SLCPDSD Revised04/11/2011 ioY"moo SANDRA M.ROMAN
MY COMMISSION#GG151921
`''s01F EXPIRES.January 03,2022