HomeMy WebLinkAboutFilled Lands AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
FILLED LANDS AFFIDAVIT
I, the undersigned, am the owner of the following described property,
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(Parcel IM/Legal 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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STATE OF FLORIDA, COUNTY O
ACKNOWLEDGED -BEFORE ME THIS
DAY OF , 20J,
BY . It ( W M + 1 1q0V1
WHO 1S PERSONALLY KNOWN TO ME OR WHO HAS
PRODUCED
AS IDENTIFICATION.
SIGNATURE otfioTARY PUBLIC
V TYPE OR PRIM NOTARY
COMMISSION NUMBER
SLCPDSD Revised 08/24/2010
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