HomeMy WebLinkAboutFilled Land Affidavit RE C E I' 7 7J;7 •
PLANNING& DEVELOPMENT SERVICES DEPARTMENT
e Building&Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE,FL34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
I,the undersigned, am the owner of the following described property,
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19 3s 3 6-q /Z mF d Y2 0 F 114 YZ of N0 Y .F AIW Yy-(FSS' E Z(.3.ZJ,FT
(Parcel Id#/Legal description/Address) 104o evL'j-uti IZc)A)D F+, P14ejcxa
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)
Property Owner Signature ate
STATE OF FLORIDA,COUNTY OF,a4 ��Jl/�A-+L-
ACKNOWLEDGED BEFORE ME
1E THIS pZ, a DAY OF'�'N0J--J— 20 X--)
BY(�0.�.?+cQ WHO IS PERSONALLY KNOWN TO ME(ur)OR WHO HAS
PRODUCED 1 l AS IDENTIFICATION.
IGNATURE OF NOTARY PUBLIC TYPE OR PRINT NOTARY
COMMISSION NUMBER
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z° MY COMMISSION 14,2017
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SLCPDSD Revised 04/11/2011