HomeMy WebLinkAboutFilled Land AffidavitK.w- :::;; ;. PLANNING & DEVELOPMENT SERVICES DEPARTMENT
' Building & Code Regulations Division
2300 VIRGrNIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
FILLED LAND AFFIDAVIT
1, the undersigned, am the owner of the following described property,
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(Parcel Idf#/Legal description/Address) �V I d V �O_5�j
for which 1 have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number
acnowlege
that as Owner of the above described property, and 1n accordance l witlh Section
7.04.01(D), St. Lucie County Land Development Code, I shall be responsible fc:1r assuring
adequate drainage so that the immediate community WIL_ L 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 afi�ect the immediate
community.
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STATE OF FLORIDA. COUNTY OF �5"f _L
ACKNOWLEDGED EIEFORE ME THIS �..
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�`��WHO IS PERSONALLY KNOWN TO ME
PRODUCED U OR WHO HAS
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AS IDENTIFICATION
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TYPE OR PRINT NOTARY\ —
Cr&0= a`l COMM-ISSION NUMBER
SLCPDSD Revised 04/11/2011
(SEAL)
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RICHARDDOUGLASJOHNSON
N�lary Public - SI31e of Florida
Commsvw p GG 084821
My Comm ExpiresMar20.2021
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