HomeMy WebLinkAboutFilled Land Affidavit 8-1-17PLANNING. & DEVELOPMENT SERVICES DEPARTMENT
T Building & Code Regulations Division
2300 VIRGINIA. AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
R Z C U V_ D OCT 131017 FILLED LAND AFFIDAVIT
1, the undersigned, am the owner of the following described property,
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(Parcel ld#/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 offmy property which will not adversely affect the immediate
community.
Property Owner N ease Print)'
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roperty OwnerSignature- . Date
&L STA'CE OF FLORIDA, COUNTY Oro�&
ACKNOWLEDGED BEFORE METRIS / DAY OF 2U
BY WHO IS PERSONALLY &OWN TOME (E OR WHO HAS
PRODUCED
4ATUR OF QT AR P L I C
77
COMMISSION:NUMBE'
SLCPDSD.Revised 04/11/2011
AS IUENTiFICATION.
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