HomeMy WebLinkAboutFilled Land AffidavitRECEIVED NOV 2 0 2015
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & 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/Address) /.7,709 /V4J /k_ Ae-W, CIT?/
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.
I 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
community.
Ash wn A 1pwh
Property Owner Name (Please Print)
0-4-15
Date
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STATE OF FLORIDA, COUNTY OF 8f
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ACKNOWLEDGED BEFORE ME THIS I _ DAY OF t Iie� 20 15
BY IxI�(,� I11 i V� WHO IS PERSONALLY KNOWN TO ME C_) OR WHO HAS
P ODUCED FLU AS IDENTIFICATION.
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SIGNATURE OF NOTARY LIC �l YPE OR PRINT NOTARY
COMMISSION NUMBER
otr MARIc E. KNOWLES
Notary Public - State of Florida
My Comm. Expires Dec 1.6, 2016
Commission # FF 125001
SLCPDSD Revised 04/11/2011