HomeMy WebLinkAboutFilled Land AffidavitPLANNING &DEVELOPMPENT SERVICES DEPARTMENT
Building & Code Regulations Division
2.300 VIRGIMA AVENUE
FORT PIERCE,_ FL 34982-5652
(772) 407-1553
FILLED LAND' AFFIDAVIT
I, the undersigned, am the owner of the following described property,,
for which I have applied to St. Lucie Comity for a,Pinal Development Permit. In
accepting this Final Development Pdfmit,.BP Number — -Z60 2OZ, -21;& 1 acknowledge
property, :that as owner of the: above described and in . accordance . I . . with Section
7. 04tjO l(D), St. Lucie County Land Development -Code,,! shall be responsible for assuring
adequate drainage so that the immediate community
WILL NOT be adversely affected.
I -further acknowledge that in granting tWs pern-dt 'for the development .of this property,
roperty,
: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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PrQPy-
1 rt0Wtier Name (Please Print)
PrIblierby owner Signature
MDa -- e
STATE OFTboteft, COUNTY OF —R2
ACKNOWLEDGED BEFORE METHIS- 1 --j?AYOF Awnu,! It / . 20 Z1
BY
1 i�OrK- WHO IS PERSONALLY KNOWN TO E M OR WHO HAS
'PRODUCED. AS IDENTIFICATION.
SIGNAto 3 IVRE OF NOTARY PULI T—YP40RPRO 9,TARY-
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SLCPDSD Revised 04/1 IP-61 I