HomeMy WebLinkAboutFilled Land Affidavit�". J.;:�_:-:,.:;;.._;. PLANNING & DEVELOPMENT SERVICES DEPARTMENT
• Building & Code Regulations Division
2300 VIRGMIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
W- DDSk- Coo-9
(Parcel Idtt/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'
1: ac}snow}edge
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 'bfthis 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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r a n �r an S
Property Owner Name (Please Print)
gnauePro Property itr
Date
STATE OF FLORIDA, COUNTY OF_Rt C `�
ACKNOWLEDGED EIEFORE ME THIS 2 __ J e
DAY OF 20 1-0
WHO t5 PERSONALLY KNOWN TO ME JL iJ
L� OR WHO HAS
PRODUCED
`AS IDENTIFICATION
S NATURE OF N rAR UBLIC JO\NN jON
TYPE OR PRINT NOTARY
GGOg4g�) COMMISSION NUMBER
(SEAL)
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SLCPDSD Revised 04/11/2011 •
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RICHARD DOUGLAS JOHNSON
Wary Public - SLiie of Florida
Com;nssior.#GG084921
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My Comm, Ea Tres Mar 20, 202I
Bonded Ihrooyh Nalmnal Nolary Aisn.