HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
• Building & Code Regulations Division
2300 VIRGRJIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the follow' g described property,
Alin C�oar-all Caa6��
(Parcel ld/#/Legal description/Address)
for which I have applied to St. Lucie County for a Final Developmentpermit.
Peit. In
accepting this Final Development Permit, BP Number
ack
that as owner of the above described property, and in accordance I with Sectdion
7.04.01(D), St. Lucie County Land Development Code, I shall be responsible for 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 affect the immediate
community.
Ipe {3 �5=
Property Omer N e (Please Print)
Property ignature — 2 _
Dat
STATE OF FLORJDA. COUNTY OF (5�— LLA C-G ,C
ACKNOWLEDGED EIEFORE ME THIS
/� __ DAY OF 20Li z
WHO IS PERSONALLY KNOWN TO ME ( OR WHO HAS
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1 I AS 1IDENTIFICATION
tNAT . URE OF N r-AR UBLIC �ILNAQLs a1Eli J(��Ni,,,
TYPE OR PRINT NOTARY
G6-084ga1 COMMJSSIONNUMBER
(SEAL)
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RICHAPD DOUGLAS JOHNS' ON
Wary Public - Sue of Florida
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M Comm Ex Tres Mar 20.2021
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