HomeMy WebLinkAboutFilled Land Affidavit PLANNING &DEVELOPMENT SERVICES DEPARTMENT
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t L .t; ,i = L 2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652
(772)462-1553 RECEIVED
FILLED LAND AFFIDAVIT
MAR t 9 1021
Permitting Department
St. Lucie Ccurrty
I,the undersigned, am the owner of the following described property,
v3b u o-t� l Pw, 1 , Lucy"_, -F C
(Parcel Id#/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 , 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.
W n� fflkQ"h'
Pro erty Owner Name(Please Print)
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Pro Owner Signature Da Fe
STATE OF FLORIDA,COUNTY OF �+A a C.\Q
ACKNOWLEDGED BEFORE ME THIS DAY OF WS ck( 20-6,j_,
BY $�S} �q 1M1.�►['��l �I WHO IS PERSONALLY KNOWN TO ME 11:1 OR WHO HAS
PRODUCED L AS IDENTIFICATION.
SIGNATURE OF TARY PUBLIC TYPE OR PRINT NOTARY
a�ro3rJ COMMISSION NUMBER
'�e"• DEANNA GIVENS
Notary Public St7f✓J59ca r.
COmfnissior
My Comm.Expires Jar 7.fs.2025
Bonded through Nationa:Not:..,Assn. ..
SLCPDSD Revised 04/11/2011