HomeMy WebLinkAboutFilled Lands AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553 RECEIVED
OCT 2 6 2021
FILLED LANDS AFFIDAVIT St. LucieC gnty
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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 , 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.
SS�n�I �
Property Owner Name (Please Print)
.101 A A(
Pr erty Owner Signature Date
P/r
STATE OF FLORIDA, COUNTY OF�� G
ACK GED BEFORE ME IS DAY OF �-- , 20 40 ,
gy Y% ES V d E4 �M+IO IS PE NALLY KNOW TO ME OR WHO HAS
AS IDENTIFICATION.
COMMISSION NUMBER
®HERRa FEHLMM
(SEAL' #
�ammiWon # GG 187160
Expires March 14, 2022
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SLCPDSD Revised 08/24/2010