HomeMy WebLinkAboutTurner SLC Filled lands Affidaviti 4 rJ�• {�
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PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-I 553
FILLED LANDS AFFIDAVIT
I, the undersigned, am the owner of the following described property,
ld#(Legal description/Address)
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 Shan 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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Prope r Name leas
Prop Own Signature
/r I % Z- l
Date
STATE OF FLORIDA, COUNTY OF L
ACKNOWLEDGED BEFORE ME THIS DAY OF� 70�'
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i WHO IS PERSONALLY KNOWN T ME OR WHO HAS
' �- AS IDENTIFICATION.
F YPUBLIC TYPE OR PRINT NOTARY
COMMISSION NUMBER
Eli+Pp.
*,ate of Florida
man GG 221434SLCPDSD Revised 08/24120I0®fl022