HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIROMA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
SCANNED
FILLED LAND AFFIDAVIT BY
St Lucie County
I, the undersigned, am the owner of the following described property,
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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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Prope ty 0 er N, me (Please Print
e ty r Si ature 1 T p Date
STATE F FLO A. C UNTY OF 1 Q
ACKNOWLEDGED _BEFORE`METTHIS�r DAY OF,JONJIV .20 1 1 .
BY i�-�tV kV\ 1D' V%3 WHO IS PERSONALLY KNOWNTO ME(El OR WHO HAS
PRODUCED V % 1� 5 AJ—, 0 1� V AS IDENTIFICATION.
SIONATMEOFNOT5Y PUBLIC TYPFOR PRINT NOTARY
COMMISSION NUMBER
At1g11CHELLE LOBRUTTO
Commission # FF 949733
1?A>.•� Expires January.l2, 2020
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SLCPDSD Revised 04/112011