HomeMy WebLinkAboutFilled land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
MOM
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
I 7oy-013`7- ocx_)-(
(Parcel Id#/Legal description/Address)
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number
ge
that as owner of the above described property, and in accordance I with Sectacknowleion
7.04.01(D), St. Lucie County Land Development Code, I shall be responsible for 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 off my property which will not adversely affect the immediate
community.
Dat
STATE OF FLORIDA, COUNTY OF j4kC
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ACKNOWLEDGED EIEFORE ME THIS r�r'(-ca.( �
PRODUCED 7
ElY_W t, DAY OF 20_ l
CJ �UHO IS PERSONALLY KNOWN TO
OR WHO HAS
_
\AS IDENT[FICATION
S NATURE OF N fAR UBLIC �tL�A4� a1R� JO�.N,t OH
TYPE OR PRINT NOTARY
GG—_ 84gaI COMMISSION NUMBER
(SEAL)
;•;N�o;'••
RICHAP,000UGLASJOHNSON
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SLCPDSDRevised 04/ll/2011
NIary Public - Slale oI Florida
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My Comm. Expires Mar 20, 2021
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