HomeMy WebLinkAboutFilled Land Affidavit I
,; , PLANNING& DEVELOPMENT SERVI VED
Building&Code Regulations D .ision
2300 VIRGINIA,AVENUE
FORT PIERCE,FL 34982-5652 N O V 0 3 2017
(772}462-1553 Permitting Department
FMLED LAND .MDA St. Lucie County, FL
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i
I,the undersigned, am the owner of the following described property,
gbl S . .6G,s4^j DOutt-
(Parcel Id#lLegal 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,
i 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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Property e N me(Please'* int)
4t
Property Owner Signatgre Date
STATE OF FLORIDA,COUNTY OF I JJG
AC EDGED BCS!O E THIS Co DAY OF 2 -t'
B I.� HO[S PERSONA L Y KNOWNTO ME([J)OR WHOHAS
PRODUCED AS IDENTIFICATION.
SIGNATURE XX
OTARY PUBLIC 7iT10T
Pubw ststo or Florida
% ISSIONNUMBER Flans Don my wh W„
SLCPDSD R"ised D4/11/2011