HomeMy WebLinkAboutFILLED LAND AFFIDAVITSCANNED
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PLANNING & DEVELOPMENT SERVICES DEPARTMENTt ;,J P P CCU*
Building & Code Regulations Division
2300 VIRGINIA AVENUE -_ -
FORT PIERCE, FL 34982-5652 RECEIVED
(772)462-1553
AUG 2 4 2018
FILLED LAND AFFIDAVIT 5T, kucla tag�n - Permitting
I, the undersigned,aam the owner of the following described property,
(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 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.
qoperty er me (Please Print)
u •� �� < <� � S (set 0� 6
Property Owner Signature Date,/
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFORE ME THIS _ DAY OF 1(�VV\Q, Zp j
n nn
BY U�JI�I CXf 1 L� i-'XR �L� WHO IS PERSONALLY KNOWN TO ME (_) OR WHO HAS
PRODUCED
SIGNATURE OVNARY PUBLIC
COMMISSION NUMBER
AS IDENTIFICATION.
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TYPE OR PRINT NOTARYt
(SEAL)
atP Y PV, 1,
a a FALLON TUTHILL .
Notary Public-.State.of Florida.
» •= Commission-# GG 032901, ,
SLCPDSD Revised 04/1 M2011 "^,;F oao;� My Comm' Expires Sep 22, 2020
Bonded thrdugh National Notary Assn.
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