HomeMy WebLinkAboutFilled Land Affidavit PLANNING&DEVELOPMENT SERVICES DEPARTMENT
Budding&Code Regulations Division
2300 VMGINIA AVENUE i
FORT PIERCE,FL 34982-5652
(772)462-1553
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FILLED LAND AFFIDAVIT
1,the undersigned,am the owner of the following described property,
(Parcel 10/Legal deseriptton/Addrm)
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Filial Development Permit, BP Number , I acknowledge
that as owner of the above descn-bed 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 ffl L 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 , er,'N a(pie=Pri7
Property r Signature Date
STATE OF FLORIDA,COUNTY OF
1 1
ACKNOWLEDGED BEFORE ME THIS DAY OF -J— U Lq -
4 p L �% _WHO IS PERSONALLY KNOWN TO ME )OR WHO HAS
PRODUCED AS IDENTIFICA110N.
i S1GN E OF NOTARY PUBLIC TYPE Ok N TARY
COMMISSION NUMBER
Angela A=Caroussos
rida
468
SLCPDSD Revised 04/11120111
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