HomeMy WebLinkAboutFILLED LAND AFFIDAVITr
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652 ECEIVED
(772)462-1553
CA�Iv�� BY JUL .0 2 L:J33
St. Lucie County FILLED LAND AFFIDA ST- Lucie County, Permitting
I, the undersigned, am the owner of the following described property,
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(Parcel
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 which will not adversely affect the immediate
community.
Aden I ,�
Property Owner Name (Please Pri )
' 0 l 8'
Property Owner Signature Date
STATE OF FLORIDA, COUNTY OF % t L �V �/1
AC
KNO DGED BEFO ME THIS Q� DAY OF �LrV--�� 20 I O
BY e WHO IS ON LY KNOWN TOE Q OR WHO HAS
PRn iTYC CFiii % AS IDENTIFICATION.
OF NOTARY PXIBLIC TYPE OR PRINT
COMMISSION NUMBER 'pY Pam.,, SHERRI KELLEY
;1 ..icommis JE5999218
=�+o Expires ctober4,2020
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SLCPDSD Revised 04/11/2011