HomeMy WebLinkAboutFilled Land Affidavit Y
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PLANNING& DEVELOPMENT SERVICES DEPARTMENT
5 L NTT
COUNTY Building Regulations&Code Re lations Division
FL_O_ R_ I _D A - 2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
I,the undersigned, am the owner of thefollowing described property,
31103-630-0 Oqq-000-V
(Parcel Id#/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 me' 051 t4. 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 off my property which will not adversely affect the immediate
community.
�O)h 10((
ope Owner Name(Please Print)
Yha{ 4./ IF
.XPrope Owner Signature Date
STATE OF FLORIDA,COUNTY OF v4---- LUt-cec—
ACKNOWLEDGED BEFORE ME THIS (9 DAY OF V WI/W.—' 20 l
BY J61Th' (''D 1 I WHO IS PERSONALLY KNOWN TO ME(0)OR WHO HAS
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PRODUCED Li) AS IDENTIFICATION.
I .S1-''..---------.-.-..
SIG AT ' • NOT. 'Y PUBL TYPE OR PRINT NOTARY
COMMISSION NUMBER
,,,trP�,,, KAREN S. NIEL
=o'`'/� a(0;-:State of Florida-Notate' u lic
'./ •_ Commission #GG 207484
'Will're,- My Commission Expires
431, 's June 12, 2022
SLCPDSD Revised 04/11/2011