HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
0 ~j r Building & Code Regulations Division ,
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2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
1, the undersigned, am the owner of the following described property,
13qoICI FL, sA a
(Parcel Id#/Legal description/Address)
for which 1 have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number , 1 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.
D I" -2
Property 0v4mef Najpe (Please Print)
Signature
ate
STATE OF FLORIDA, COUNTY OF 0
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ACKNOWLEDGED BEFORE ME THIS 1 DAY OF N4 20�,
BY E d V v c WHO IS PERSONALLY KNOWN TO ME (a) OR WI10 HAS
PR( UCED j L IlJ
SIGNATURE OF NOT BLIC
COMMISSION NUMBER
SLCPDSD Revised 04/1 1/2011
OR PRINT
Cassidy Berger
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NOTARY PUBLIC
STATE OF FLORIDA
Comm# GG973629Expires 3/26/2024
(SF.AI )
AS IDENTIFICATION.