HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
R E C E I !' D MAR 16 2015 1FILLED LAND AFFIDAVIT
I, the undersigned, am,the owner of the following described property,
�3a0 `SOf - 00190-o0D 4 L,�-e,,20i wn/ &4 --w A8.
(Parcel Id#/Legal description/Address) J4p f a 3
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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 I Sa3 r0 a 5 j , I acknowledge
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 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.
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Property Owner Name (Please Print)
A.Z
Property Owner Signature Date
STATE OF FLORIDA, COUNTY OF t -'C'. C •%
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ACKNOWLEDGED BEFORE M`E-THTS_ DAY OF Y r �
BY {� C \d► v+w �, 4nn�- i�c WHO IS PERSONALLY KNOWN TO ME (_) OR WHO HAS
PRODUCED L U L AS IDENTIFICATION.
SIGNATURE OF NO1tJRY PUBLIC
E<,54-1 ec 1 COMMISSION NUMBER
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SLCPDSD Revised 04/11/2011
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