HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLAIIP,MG & DIEVELOPAMNT SERVICES DEPARTNIERT
BUILDING & CODE REGULATIONS DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE_ FL 34982-5652
(772)462-1553
FILLED 1ANDS AFMIDAVET
1, the undersigned, am the owner of the following described property,
,I'-+- 5,02--0o-+5-00v-'4 pNO.
(Parcel 10tLegal description/Address)
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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 ELL NOT be adversely affected.
I further acknowledge that in granting this permit for die 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.
Property Owner 7sePrint)
Own
I
Property gnatureture Date
STATE OF FLORIDA, COUNTY OF U c
ACKNOW EDGED BEFORE ETIUS DAY OF
By WHO IS PERSONALLY KNO" TO ME OR WHO HAS
PRODUCED
AS IDENTIFICATION.
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(.Cj 0
SIGNATUkE OF NOT PUBLIC TYPE OR PRINT NOTARY
COMMISSION NUMBER
P?"kNotary Public State of Florida
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(SEALS i:!rancene Newman
My Commission GG 221434
Expiies 05/23/2022
SLCPDSD Revised 08/2412010