HomeMy WebLinkAboutFilled Land Affidavit PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGfMA AVENUE
FORT PIERCE,FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT 1
1, the undersigned, am the owner of the following described property,
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(Parcel Id9/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 G_too-0-�'( 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 int)
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Property ignature Date
STATE OF FLOR.IDA.COUNTY OF
ACKNOWLEDGED EIEFORE ME THIS_� DAY OF 'V[ A_Y 20_ _
BY WHO IS PERSONALLY KNOWN TO ME L_)OR WHO HAS
PRODUCED AS IDENTIFICATION
S NATURE OF N rAR UBLIC TYPE OR PRINT NOTARY
G&084811 COMMISSION NUIv1BER
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;•iµro�p:,• RICHARD DOUGLAS JOHNSON
�•`"•.: Nalary Pubht-Stale at FloriCa
Ln\l Comnssior.p GG 084821
SLCPDSD Revised04/Il/2011 -•"y' r IVY:, My Comm.Exples Ma;20.2021
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