HomeMy WebLinkAboutFilled Land AffidavitPLANMNG & DEVELOPMENT SERVICES DEPARTMENT
' Building & Code Regulations Division
2300 VIRGINIAAVENUjR-
FORT PIERCE, FL 34982-5652
(772) 462-1553
FILLED LAND AFFIDAVIT
I, the undersigned; am the owner of the following described property,
(Parcel [d#/Legal description/Add es )
for, which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number
that as owner of the above described property, -and _in accddrdance I w with Sectdio e
7.04.01(>�) St. Lucie County Land Development Code, I shall be responsible for assuring
adequate: drainage so that the immediate community WILL NO be adverse] affecte g
I . Luci acknowledge that in granting :this permit for the. development of this adversely
end.
St. Lucie County k 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.
r s
Property Owner Name (Please irii)
_ Property igaature --------
:Date
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED IIEFORE A ,
..ME THIS I
DAY OF mo_
B Y LlJ F'ti O.1,e�I�A S� C•� r'�� � 20_
��—v �/HO IS PERSONALLY KNOWN TO ME
PRODUCED OR WHO FIAS
AS IDENTIFICATION
sQNATU'RE OF N r{L�AQ� .
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4 I COMMISSION NUNIBER
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