HomeMy WebLinkAboutBELAND FILLED LAND AFFPLANNING & DEVELOPMENT SERVICES DEPARTMENT
J Building & Code Regulations Division
2300 VIRGINIA AVENUE,
FOR I' N]ERCE. FL 34982-5652
(772) 462-1 »3
FILLED LAND AFFIDAVIT
1. the undersigned. am the owner of the following described property.
• 8 03. O47/3.40d4
1 Parcel Id#/Legal description/Address)
77d/7 ZACE,5
for which 1 have applied to St. Lucie County for a Final Development Permit. I 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.
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Property O er Name {Please Pri
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roperty Owner Signature ° Date
STrI CF OF FLORIDA. COUNTY UF___ M"42 7
ACKNOWLEDGM 13FFORF ME T1t1S Q DAY OF �J2U .
BY Cl . Q���/7Y WHO IS PERSONALLY KNNOWNN�TO ME ) U ' I10 HAS
PRODUCED �%l��r/� l�/T/1o��i�d._.a+i T T " S ID��D-7
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