HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMEN'i'
Building & Code Regulations Division
23W VIRGINIA AVFNUF.
FORT PIFRCF, FI.344N2.5652
(772) 462-1553
FILLED LAND AFFIDAVIT
1, the undersigned, am the owner of the following described property,
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(Parcel ld#/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.
1 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
conununity.
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Property (hvner name (Please Print)
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Pruperty0"- er Lgnalure c Date
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SIGNATURE OE NO Y PUBLIC TYPE OR PRINT NOTARY
COMMISSION NUMBI R
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Cassidy Ber9e1
NOTARY PUBLIC
STATE OF FLORIDA
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Expires 312612024