HomeMy WebLinkAboutFilled Land AffidavitM
-1; _ : _:-. ;;;, , PLANNING & DEVELOPMENT SERVICES DEPARTMENT
• Building & Code Regulations Division
' 2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
FILLED LAND AFFIDAVIT I
i DEC 0 8
L ST. Lucie County, Permitting
I, the undersigned, am the owner of the following described property,
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for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP -Number
that as owner of the above described property, and in accordance I 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 ame (Please Print)
P ty intePropergaurI �Lu1? h2p
Date
STATE OF FLORIDA. COUNTY OF Sic I Ltr_ 4 P
ACKNOWLEDGED EIEFORE ME THIS N DAY OF 17 CC.
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BY _ {IJ a r —q 11 �=}dOL"-N S —WHO IS PERSONALLY KNOWN TO ME X
PRODUCED LJ OR WHO HAS
AS 11DENT[FICATION
S NATURE OF N rAR UBLIC
TYPE OR PRINT NOTARY
GGOH4Ra I COMMISSION NUMBER
(SEAL)
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RICHARD DOUGLAS JOHNSON
SLCPDSD Revised 04/11/201 I '� �•� '
Wary Public - Sue of Florida
Com,n�sslor.9GG084821
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My Comm. Expires Mar 20. 2021
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