HomeMy WebLinkAboutFILLED LAND AFFIDAVITA
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553 SCANNED
By
FILLED LAND AFFIDAVIT St Lucie County
I, the undersigned, am the owner of the following described property,
15 7 Plfl-- r-)
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 10�0\-M9 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.
Property Owner Name (Please Print)
Prer So" Date
IQ
STATE OF FLORIDA, COUNTY OF �1_(�
ACKNOWLEDGED BEFORE ME THIS DAY OF .TaL) .20J
BY
PRODUCED
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SIGNATURE70F NOTARY PUB
G a0 Qv COMML4SION NUMBER
SLCPDSD Revised 04/112011
IS PERSONALLY KNOWN TO w is OR WHO HAS
AS IDENTIFICATION.
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TYPE OR PRINT NOTARY
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EN VAUGHNlorida-Notary Publicsion # GG 270079mmission ExpiresObar 22, 2022