HomeMy WebLinkAboutFilled Land AffidavitiS PERSONALITY KNOWN•TO ME_C[:]) OR WHO HAS
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PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations bivision
_. _ ;____.' _'._.._.... 2300 VIRGINIA AVENUE;
FORT PIERCE, FL 34982-5652
(772) 462-1553
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FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
3402-609-0430-000-5
(Parcel IM/Legal description/Address)
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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; `& - 4'acknowledge
that as owner of the above described property, acid in accordance with Section
7.04A1(D), St. Lucie County Land Development Code, tI 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 i,advqrsely :affect the immediate
community
Colton D1f _ cek G
Property:+ (Please Print) ;-
f
P Owner Signature Date
STATE OF FLORIDA; COUNTY;oP�5+. L CLQ_
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ACKNOWLEDGED BEFORE
BY
PRODUCED
CON:QvtISSION NUMBER
SLCPDSD Revised 04/11/20I1