HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGIN -A 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 Ids/Legal description/ dress)
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 1 witlh 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 NpQT be adverselyaft'
I further acknowledge that in granting this permit for the development of this pro ct
St. Lucie Coutlty is neither obliged nor liable to provide For, or f(eerty,
adequate drainage off mpropertyp Y,
community.
Y which will not adversely affect maintain
immediate
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Property Owner Name (Please Print) —�
Property i
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STATE OF FLORJDA. COUNTY OF —SV L,.,L. '`
ACKNOWLEDGED t1EFORE ME THIS = DAY OF r ch
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WHO IS PERSONALLY KNOWN TO ME PRODUCED OR WHO HAS
AS IDENTIFICATION
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4 t CI)IMMISSION NUMBER
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RICHAP.D DOUGLAS JOHNSON
SLCPDSD Revised 04/11/201 I LL!1���\1
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Expires Mar 20. 2021
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