HomeMy WebLinkAboutFilled Land AffidavitPLANNIN6 & DEVELOPMENT SERVICES DEPARTMENT
• 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,
(Parcel Idtt/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
that as owner of the above described property, and in accordan ) acknowledge
Section
7.04.01(D), St. Lucie County Land Development Code, I shall be responsible for assuring
adequate drainage so that the immediate community
I further acknowledge that in granting this permit for the mentdofthis affected.
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
community. Immediate
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ProP er
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Dale
STATE OF FLORIDA. COUNTY OF —
ACKNOWLEDGED ElEFORE ME THIS i D
13Y hN—a4 ---- AY OF 20_. ZL
M 'VHO IS PERSONALLY KNOWN T
PRODUCED OR WHO HAS
�AS1IDENTIFICATION
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TYPE OR PRINT NOTARYV
4 COMMISSION NUMBER
(SEAL)
;� � o;' • RICHARD DOUGLAS I HNSON
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