HomeMy WebLinkAboutFILLED LAND AFFIDAVITCOUNTY
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VELGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
FILLED LAND
JAN 2 4 ?T,3
ST. Lucie Coun'Y, Permitting
I, the undersigned, am the owner of the following described property,
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SCANNED
BY
St Lucie County
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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Property Owner Name (Please Print)
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Propeo Owner lydature Date
STATE OF FLORIDA, COUNTY OF /4 -- (_/o L! 'e
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BY K C4I0V"X l,�t/', C� 1/P�_WHOIS PERSONALLY KNOWN TO MEZb OR WHO HAS
PRODUCED
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9I0OF NOTARY PUBLIC
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SLCPDSD Revised 041112011
IDENTIFICATION.
TYPE OR PRINT NOTARY
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Expires January 12, 2020
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