HomeMy WebLinkAboutFILLED LAND AFFIDAVIT•
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652 REC@CEO
(772)462-1553
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FILLED LAND AFFIDAVIT p0mittit, Gr De
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SCANNED
I, the undersigned, am the owner of the following described property, BY
St Lucie County
Frank Sanguedolce / Patricia Sanguedolce
(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.
Prroperty Owner Name (Please Pr' t) n
Property Owner Signature I Date
STATE OF FLORIDA, COUNTY OF�TV2,C
ACKNOWLEDGED BEFORE ME THIS
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PRODUCED
SLCPDSD Revised 04/11/2011
DAY OF I \).( YY16&'r: �, 20A-,
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WHO IS PERSONALLY KNOWN TO ME ) OR WHO HAS
IDENTIFICATION.
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TYP R PRINT NOTARY
(SEAL)
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Commission N GO 231360
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