HomeMy WebLinkAboutFilled Land Affidavit I
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J.` PLANNING& DEVELOPMENT SERVICES DEPARTMENT ;
Ewald Building&Code Regulations Division
• 2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652 �
(772)462-1553 CVE D
FILLED LAND AFFIDAVIT OCT 0 6 2p17
PERiVJ1 MNG
St. Lucie County, FLU
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I,the undersigned,.am the owner of the following described property,
(Parcel Id#/Legal description/Address)
for which I have applied to St. Lucie County for a Final Development Permit. Im
accepting this Final Development Permit, BP Number , I acknowledge;
that as owner of the above described property, and in accordance with Section!
7.04.01(D)5 St. Lucie County Land Development Code, I shall be responsible for assuring I
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 adversely affect .the immediate l
community.
Y'i S+, v— A-sh Le-C]
Prop rty Owner Name(Please Print
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Properly Owner Signature Date
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STATE OF FLORIDA,COUNTY OF
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ACKNOWLEDGED BEFORE ME THIS DAY OF C�C�'�rd'1/ ,20��
BY r ) (�( _ WHO IS PERSONALLY KNOWN TO ME(_)OR WHO HAS
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PRODUC L y AS IDENTIFICATION.
SIGNAT OT Y PUBLIC TYPE OR PRINT NOTARY'
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COMMISSION NUMBER
(SEAL)
�g Emmelta Maw
NOTARY pUBLIC
STATE OF FLORIDA
SLCPDSD Revised 04/11/2011 . Comm#FF9WOi
W812020
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