HomeMy WebLinkAboutFilled Land Affidavit PLANNING&-,D19VELOPMENT'SERVICES DEPART {
Building&Code Regulations Division
:- 2300 VIRGINIA AVDIUE
FORT PIBRCE,FL U982-5652
(772):462-1553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,.
2312-421-0002-00011.
Pared.ld#/Le al descr' hon/Address
for Which I, .have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number 2011-0284 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.
g permit for the development of this property,
I; further acknowledge that in grantin this '
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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Properky Owner Name(Please Print)
Property Owner Signature Lute
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STATE OF.FLORIDA,COUNTYOP 1J -ow ali
ACKNOWLEDGE�D.BBEFCORRE_METMS'.J� _DAY OF �"��JC�t�G�d� �--��,20��
BY �'"eV L, cam' r^'s T WFIOIS PERSONALLY 101OWN TO ME(L�.1,OR.WHO HAS
PRODUCED AS]IDENTIFICATION.
SIGNATURE OF 1VOTARY PUBLIC TYPE OR.PRINT NOTARY
G'3U3 a CQ3 I COMMISSION NUMBERCORNMAN
(SEAT) WCOWMIONOG03M63
'••°s;..4t 8or►dodt1w 26,2023
Not:ry pueAc UnderwrRera
S.LCPDSi3 Revised 04/I il2011
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