HomeMy WebLinkAboutFilled Land Affidavit PLANNING &DEVELOPMENT SERVICES DEPARTMENY Z/1jto
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Building&Code Regulations Division UG 1
W _'= 2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652
(772)462-1553
9
FILLED LAND AFFIDAVIT
I,the undersigned, am the owner of the following described property,
(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 QA.OR" 1, I acknowledge
that as owner of the above described property, aiWin 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 WELL 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.
Property O r am (Plea
C
Prope wne gn tore Date
N AU
STATE OFItOFPt9RRB*,COUNTY OF
ACKNOWLEDGED BEFORE ME THIS_� �,DAY OF �� 20 _
BYL 1 ffl' W e WHO IS PERSONALLY KNOWN TO ME CM)OR WHO HAS
PRODUCED L AS IDENTIFICATION.
s �1�A- y6yW\6
I ATURECOOTARY PUBLIC TYPE OR PRINT NOTARY
COMMISSION NUMBER
(SEAL) 40
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SLCPDSD Revised 04/11/201] ,�'•� A(/B``G _ '
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