HomeMy WebLinkAboutFilled Land Affidavit_'j:'� �;;:• PLANNING & DEVELOPMENT SERVICES DEPARTMENT
• Building & Code Regulations Division
2300 VIRGfNIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553 R-'Ce1VED
FILLED LAND AFFIDAVIT P MAR 0 5 2#21
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.St, Iucle ep ty ent
I, the undersigned, am the owner of the following described property,
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Neva Sk 13 11 - 70 I -oa3 �_ o o� - .
1-description/Address) 5
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number
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that as owner of the above described property, and in accordance I witlh Sectdion
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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 COLIttty 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 ame (Please Prinl)
Property ignafure
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STATE OF FLORJDA. COUNTY OF�7 - I , - _ F -Q—
ACKNOWLEDGED EIEFORE ME THIS,/
W k.77(^_— DAY O 20-Z
B Y ��A!;;�" 1
WHO IS PERSONALLY KNOWN TOME
PRODUCED >R " WHO HAS
AS IDENTIFICATION
S NATURE OF N rAR UBLIC
G&C'SqBfil COMMJSSION NUMBER
SLCPDSD Revised 04/11/2011
�r,c,�nec ,gln� JU�N.IoN
TYPE OR PRINT NOTARY. —
(SEAL)
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RICHARDDOUGLASJOHNSON
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NolarY Pubho - Slele of Florida
Commssior.0 GG 084821
My Comm Ea Tres Mar 20. 2021
Bonded INgyh NdliOnal lroiary Assn.