HomeMy WebLinkAboutRamgolam Filled Land Affidavit s - -
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
- Building & Code Regulations Division
2300 VIRGINIA 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 Id#/Legal description/Address) -�5E17 �Cf/�L
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 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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Prop t r Nam 1 se Print)
Property Owner 5i ature Date
STATE OF FLORIDA_COUNTY OF— ��T/�
ACKNOW[LF'DGED BEFORE ME THIS �DAY OF L .20 .
BY PeC e/� 1 lA��OL�}� WHO IS PERSONALLY KNOWN TOME{ S OR WHO HAS
PRODUCED 1Z D AS IDENTIFICATION.
SIGNATU OFNOOTARY PUBLIC TYPE OR PRINT NOTARY
6G OF( ((UC'OMMISSION NUMBER
(SEAL)
„%V pc Notary Public Stela d Florida
SLCPDSD Revised04/11/2011 Lori A Maxley
+� My Commission GG 280148
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