HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE RECEIVED
FORT PIERCE, FL 34982-5652
(772) 462-1553 NOV I a ZOZO
FILLED LAND AFFIDAVIT PermSt.tL,ucie county
I, the undersigned, am the owner of the following described property,
Z�Z?-60I•Po6o- owl ,v -Murpa r e tev A&& &. P, a�R�� Fc .3s�9� L.
(Parcel Id#/Legal description/Address)97�
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 me Please Print)
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Property Owner Signature Date Z
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STATE OF+-b�, COUNTY OF
ACKNOWLEDGED
BEFORE ME THIS S DAY OF _ .S cAh y& &Al,\ j 20 ZU ,
BY �1 WHO IS PERSONALLY KNOWN TOME (a OR WHO HAS
PRODUCED IM► Ortl vrZ . `L AS IDENTIFICATION.
SiGNA URE OF NOTARY PUBLIC P TYPE OR PRINT NOTARY
COMMISSION NUMBER
SLCPDSD Revised 04/11/2011
(SEAL)
VANCE KIRKWOOD
Notary Public - State of Michigan
County of Macomb
My Commission Expires Mar 16, 2026
Acting in the County of CnU.lwin�