HomeMy WebLinkAboutFilled Land Affidavit- f z PLANNING & DEVELOPMENT SERVICES DEPARTMENT
a 7 Building. & Code- Regulations Division
' 2300 VIRGINIA AVENUE
FORT PIERCE, FL 34932-5652
(772) 462-1553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
.305_ 500 - 0003- cDC0- 8 12-1 q 3 W .
(Parcel Id#/Legal description/Address)
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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, cr. maintain. in any farm,
adequate .drainage off. my •property which will- notadversely affect the immediate
community.
Property er Na e:(Please Print)
,Property Owner ignature Y Date
STATE OF FLORIDA, COUNTY OF J-1 Luck
ACKNOWLEDGED BEFORE ME THIS DAYOF _ �eb>< to G V y , 20 27-
T.
��kuo�lo93 COMMISSIORi_NUMBER
isY R'HO IS PERSONALLY' KNIV OwTO ME_ a OR WHO
HAS
PRODUCED
AS 1DENTTFICATION.
S[G\�.AT[niE OF NOTARY
PUBLIC
TYPE ORI'R:[NT IV4 ARY
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(SEAL)
SLCPDSD Revised 04/I 112611