HomeMy WebLinkAboutFilled Land Affidavit PLANNING & DEVELOPMENT SERVICES DEPARTMENT
W ` f Building& Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
I,the unde i ned, am the owner of the following described property,
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(Parcel egal description/Address)
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.
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e e(Please Print)
Property Owner Signature Date
A.,
STATE OF FLORIDA,COUNTY OF
ACKNOWLEDGED BEFORE M[E THIS! DAY OF 4 ,20Ra
BY �� LION• -yf'J -u I - WHO IS PERS LY KNOWN TO ME OR WHO HAS
PRODUCED I C AS IDENTIFICATION.
SIG TURE OF TVARY PUBLIC TYPE OR PRINT NOTAT
COMMISSION NUMBER
(SEAL)
-- AUDREY B.HumptiREY
SION GG 3008V
SLCPDSD Revised 04/11/201 I =_° `' IdY COMMIS
*= u. •*s ryPIRES.March6,2023
ruNotaryPnU1CUnderxtiters
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