HomeMy WebLinkAboutFILLED LAND AFFIDAVIT. 19 06s3
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
` Building & Code Regulations -Division --—
• 2300 VIRGINIA AVENUE
e FORT PIERCE, FL 34982-5652
(712) 462-1553 �q�ill�Fa
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FILLED LAND AFFIDAVIT RFrelp, CDUntl
BAN 3
I 19
Permjrr/ 10
I, the undersigned, am the owner of the following described property, sr C4 a oe° ty nt
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(Parcel
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number 1 OVI-0363, 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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Pr nnrtynn -Owner ame lease Print) c
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Pro erty Owner Signature Date
STATE OF FLORIDA, COUNTY OFF - L 11 6 e.
ACKNOWLEDGED BEFORE ME THI ^ DAY OF ^I 20�,
BY C 2 WHO IS PERSONALLY KNOWN T ME 0__l) OR WHO HAS
PRODUCED T-ICIT(a2i,
&TOFNOT ARY UBLICOMMISSION NUMBER
SLCPDSD Revised 04/112011
Jonathan Munoz
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NOTARY PUBLIC
STATE OF FLORIDAComm WNW
Expires?/11/2020
IDENTIFICATION.