HomeMy WebLinkAboutFILLED LAND AFFADAVITDocuSign Envelope ID: B252EF9D-8B4C-46A9-B3EE-35EA5EC5E776
A- M
_ PLANNING & DEVELOPMENT SERVICES DEPARTMENT
T V-� 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,
3`-( C)a - U10- 015C1 -Ooo-S 5S-bH Ax;n-4rte, -rr&. 1 ,Ece+tree.�4• S�{9ra
(Parcel Id#/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.
I fiu•ther 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.
DocuSigned by:
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PrYu neia�y.Name ( ease rlmf�2
Prope'IR'yAMAIN'Signature
STATE OF FLORIDA, COUNTY OF SL- L_Ll_G e—
8/10/2021
Date
ACKNOWLEDGED BEFORE M,E�"I„HIIS 1 b7l) DAY OF NAo (,lpl. ,-, 2A
i�
BY Cj� tQ s I�1�� �jl(,Y WHO IS PERSONAL-LY KiNOWN'ro ME cu) OR WHO IIAS
PRODUCED
AS IDENTIFICATION.
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TYPE ORGIC Y
SCOMMISSION NUMBER
(SEAL)
L99
ANGIE FINLEY
Y COMMISSION# GG 356153
SLCPDSD Revised 04/11/2011 ,EJX_PJI}R�E-S: November 111_7,J2�0�223
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