HomeMy WebLinkAboutFilled Land AffidavitPLANNING &DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
� ' PORT PIERCE, FL 34982-5652
(772) 462-1553
1, the undersigned, am the owner of the following described property;
(Parcel
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 describedproperty, 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 L I� OT be adversely affected.
1 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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roperty Owner Name rease Print)
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rop y Owner Sigllatur Date l
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STATE OFCte,tbAa COUNTY OF
ACKNOWLEDGED BEFORE METHIS 7 DAY OF .rutt^ 20 �'
BY 0 1C-- 8AA&4&4 13 Aii)c'ek_ WHO IS PERSONALLY KNOWN TO ME (__) OR WHO HAS
PRODUCED h-Y, bP-J / 6 Q �VQfS AS IDENTIFICATION.
pold-k-' 4'1 0/at- L-13W& V21 .
SIGNATURE OF NOTAR PUBLIC TYPE OR PRINT NOTARY
COMMISSION NUMBER
(SEAL.)
sLCPDSD Revised oail Iizol I CAUL L. WIG J&
Notary Public Stab of N.Y.
NO.DIBE6017298
Qualified in Herkimer Cty.
C'Smissish Expires 12JO71202