HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
ENNOW FORT PIERCE, FL 34982-5652
(772) 462-1553
SCANNED _ RUCEI E®
BY FILLED LAND AFFIDAVIT
St Lucie County S E P 24 3j
ST. Lucie County, Permitting
I, the undersigned, am the owner of the following_ described property,
IM Legal
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.
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�rOp Owner Name (Please Print)
Property Owner Signature Date
STATE OF FLORIDA, COUNTY OF
it
I
AC KN "EDGED F RE ME THIS DAY OF i 20 l 4
BY77W WHO IS PERSONALLY KNOWN TO ME L_) OR WHO HAS
PROD ED
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COMMISSION NUMBER
SLCPDSD Revised 04/11/2011
AS IDENTIFICATION.
TYPE OR PRINT NOTARY
=1127/2021
of Florida 092440Eawplp%
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