HomeMy WebLinkAboutFilled Lands AffidavitPLANNING & 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,
609-o355-a�v-
(Parcel Id#/Legal descript
L,9h 2% -4
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.
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Property Owner Name (Please Print)
z
oy Owner ]gn`ature -� to
STATE OF FLORIDA, COUNTY OF &- r lLUC��
ACKNOWLEDGED BEFORE ME THIS /4 DAY OF
BY(�// J5 7/UE "—/S WHO IS PERSONALLY KNOWN TOME
PRODUCED
OF
COMMISSION NUMBER
SLCPDSD Revised 08124/2010
TYPE OR PRINT NOTARY
20 /QT
OR WHO HAS
AS IDENTIFICATION.
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MARIE E. KNOWLES
* Notary Public - State of Florida
*o;: My Comm. Expires Dec 16. 2c
; ;�° Commission # FF
125_