HomeMy WebLinkAboutFilled Land AffidavitI
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PLANNING & DEVELOPMENT SERVICES DEPARTMENT
' Building do Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
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(Parcel Id#/Legal description ddress)
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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 that as owner of the above described property, and in accordance I w tlh nowleSection
7.04.01(D), St. Lucie County Land Development Code, I shall be responsible ft.ir assuring
adequate drainage so that the immediate community g
I further acknowledge that in granting this permit or the devebe lopment this affected.
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
community, immediate
Property Owner Name (Please Print)
Property Z. afore 3` << I Z
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STATE OF FLORJDA. COUNTY OF -SV LAIC:, -4—
ACKNOWLEDGED EIEFORE ME THIS I 1
BY W 4 Arde.rv�� DAY OF wi0.r c h 20_ ZI
PRODUCED
S NATURE OF N -AR UBL[C
4 1 COMMISSION NUMBER
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Rev{sed 64/i I/2oI I
WHO IS PERSONALLY KNOWN TO ME C59OR WHO HAS
�� AS IDENTIFICATION
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(SEAL)
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RICHARD DOUGLAS JOHNSON
NolarY Public - Slele of Florida
Comm,55jor @ GG 084821
My Comm Expires Mar 20. 2021
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