HomeMy WebLinkAboutFILLED LAND AFFIDAVITY/1
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PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Ruilding & Code Regulation ivission
- 23oovmGMAA RECEIVED
FORT PIERCE FL 34992 6652
(772) 462-1553 i
I JUL 10 L':J;a
FILLED LAND
County, Permitting
I, the under "geed, am the owner of the following described property,
(Parcel Id#/Legal description/Address)
for which I have applied to St. Lucie County for a Filial 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 "imediate
community.
j—
F1ropQbwne' N e (Please Print)
7/
Pr erty Owner Signature Date
STATE OF FLORmA, COtWTY OF
ACKNOWLEDGED BEFORE ME THIS DAY OF J
BY yu l _ L.u�-Vtut a rl I WHOPERSONALLY KII
PRODUCED 27.
S A'YC,'RB OP NOTARY P IC TYPE OR PRINT NO
04-40COMMISSION: NUMBER
SLCPDSD Revised0411 I/2011
2U� ,
TO ME (a) OR WHO HAS
TD'EWIFTCATTON.
TRACI E. HATCH
t
;*
MY COMMISSION # GG 044209
:ate;
EXPIRES: Febnrary 10, 2021
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