HomeMy WebLinkAbout1107-0046 FILLED LAND AFFIDAVITSCANNED
BY
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PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING, & CODE REGULATIONS DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
FILLED LANDS AFFIDAVIT
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I, the undersigned, am the
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(Parcel Id#/Legal description/.
ier of the following described property,
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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, or maintain in any form,
adequate drainage off my property
perty which will not adversely affect the immediate
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Date
ACKNO LEDGED BEFORE E THIS �_ DAY OF 20 /
BY WHO IS PERS ALLY WN TO ME V OR WHO HAS
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SLCPDSD Revised 08/24/2010
AS IDENTIFICATION.
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TYPE OR PRINT NOTARY
(SEAL)
.ay eye, DIANE M. FRANZE
:- MY COMMISSION # DD 708497
•. ass EXPIRES: August 26, 2011
Bonded Thru Notary Public Underwriters
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