HomeMy WebLinkAboutFilled Land Affidavit I
PLANNING & DEVELOPMENT SERVICES DEPARTMENT '
' = Building & Code Regulations Division
2300 VIRGIMA AVENUE
FORT PIERCE,FL 34982-5652
(772)462-1553 I
FILLED LAND AFFIDAVIT
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I, the undersigned, am the owner of.the following described property,
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(Parcel Id#/Legal description/Add es ) I
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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 acknowledge
that as owner of the above described property, and in accdrdance with Section
7.04.01(b), St. Lucie County Land Development Code, I shall be responsible for assuring y
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, I I
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 j I
community.
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Property Owner Name(Please int)
Property ignature Date l
STATE OF FLORIDA.COUNTY OF St1 y��`•e,_
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ACKNrO,WLEDGED BEFORE ME THIS --DAY OF 2D_ �
BY WHO IS PERSONALLY KNOWN TO ME L OR WHO HAS
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PRODUCED AS IDENTIFICATION
nr �1L�Ae� �1)JC1h9 JO�NJON
ASNATURE OF N rAR UBLIC TYPE OR PPLINT NOTARY
��r�H4Ba.1 COMMISSION NUMBER
(S EAL)
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LAS JOHNSON
Sie1e of FinriCa` •t p GG OBa B21,fi�^ �wyes Ma;ZQ.2121SLCPDSD Revised 0411112011 � `�r`;. dlwal NaUly Aisn.
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