HomeMy WebLinkAboutFilled Land AffidavitDec.23.2020 10:49 PM Art Durrence 6 Kim Holtzclaw 7728015489 P 1/ 2
,..,_.,, w........, ........: PLANNING & DEVELOPMENT SERVICES DE, PARTME
y ` Building & Code Regulations Division
2300 VIRGINIA AVFNIIE
1'01t1' PIERCE',, N, 34982.5652
(772) 462-1553.
FILLED LAND AFFIDAVIT
1, the undersigned, am the owner of the following. described property,
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reel ltIftegal description/Addre.%.%)
for which I have applied to St. Lucie County for a Final . Development Permit. In
accepting this Final Development Permit, 13P 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 fur assuring
adequate drainage so that the immediate community WILL 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 oft' my property which will not adversely affect the immediate
community.
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PropeNy Owner Name (Please Print)
Prop Om mer Signature Oat
STATE OF FLORIDA, COUNTY OP. , „S_r ' L" Gl -I& _,
ACKNOWIAJ..1)(tY.1)DT'FORiiMETI-IIS_"_n_4,_,nAYAI � Y1rl .K..... .,20_a1,.() ,
DY, QY)� �.`I S _�r�f1n H 0 I W WHO IS Pr[tSONALJ Y KNOWN TO ME (, ,Znit WHO HAS
PRODUCED _, „ ._ AS 11AIsNl WICKrION.
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�.*xxljlir- Or NO'I'AItY PUBLIC
a 0_01_COMMISSION NUMUR
SLCPDSD Revised 0411InOl I
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'L`YL'li 011 PiZIN'Y NO°PAIiY
"A' f", SHANDRA K WAM
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NOtiIRu411AC State of Florlde
Go 2607
n...' My Cnmm. Ezpl es Oct)15. 2011
8unded thMgh Hattonat Notary Assn.