HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
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Building & Code Regulations Division
2300 VIRGNIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
(Farce II d#/Legal descri description/Address) _L CL co
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number
acknowledge
that as owner of the above described property, and in accordance I 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.
Brian W Davidson
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Property caner Name (Please Print)
Property Owner Signature 2 Z�
Date
STATE OF FLORIDA, COUNTY OF Srayard
ACKNOWLEDGED BEFORE ME THIS 2(0 DAY OF _ 4
C.
BY --- — 20_j_4- .
- ----- -
PRODUCED _-WHO IS PERSONALLY KNOWN TO ME LJ OR WHO HAS
_
AS IDENTIFICATION
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SIGNA E OF NOTARY pUg1 IC - ---- -
TYPE OR PRINT NOT.ViY
- ______`-COMMISSION NUMBER
SLCPDSD Revised 04 1 U201 I
(SEAL)
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