HomeMy WebLinkAboutFilled Land Affidavit RECEIVED MAR w " 'H;7
--—� PLANNING &DEVELOPMENT SERVICES DEPARTMENT
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� - 1 Building&Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
auO�7--Ltg1-c onI ._DOM--7 L/QrLctt.► & 17. 97e R.
,
(Parcel Id#/Legal description/Address)
for which I have applied to St. Lucie Count for a Final Development Permit. In
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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.
.Pr e O er Name Please rint
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r
Prope er Sign tur Date
STATE OF FLORIDA,COUNTY OF
ACKNOWLEDGED BEFORE ME THIS QA DAY OF Vy"00, 20��,
BY M�O�e.� �,{�, j�� 1K WHO IS PERSONALLY KNOWN TO ME OR WHO HAS
PRODUCED �"L !J ` AS IDENTIFICATION.
SIGNATURE OF NOTIAR Y PUBLIC • PRINT WYMRIL GIVENS
_*; * MY COMMISSION#GG 022023
Y34&q1C,(COMMISSION NUMBER „ off= EXPIRES:December 16,2020
•.,,oR F�,,. Bonded Thru Notary Public Undervirlters
SLCPDSD Revised 04/11/2011