HomeMy WebLinkAboutSOLIS FILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE,
FORT PIERCE, FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
L the undersigned, am the owner of the following described property,
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(Parcel td#/Legal description/Address)
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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 , l acknowledge
that as owner of the above described property, and in accordance with Section
7.04.04D), 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.
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P operty Owner Signat bate
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFORE ME THIS DAY OF .20 -"7%
BY 1/S WHO IS PERSONALLY KNOWNTO ME f❑IOR WHO HAS
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SIGNAT E OF NOTARY PUBLIC TYPE; OR PRINT NOTARY
66 a 015WXOMMISSION NUMBER
(SEAL)
s.om" kN Netery Public Staia of �FloddaSLCPDSD Revised 04/11/2011 Loii A MMy Commi» . CG 2
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