HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, Fl, 34982-5652
(772)462-1553 RECEIVED
FILLED LAND AFFIDAVIT FEB 2 2 2019
ST. Lucie County, Permitting
1, the undersigned, am the owner of the following described property, SCq yNFD
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(Parcel IM/i,egal 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.
P or perry Owner Name (Please Print)
Pr 4S Signature D
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STATE OF FLORIDA, COUNTY OF ':r L
ACKNOWLEDGED BEFORE ME THISM
DAYOF
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BY
WHO IS PERSONALLY [O OWN TO ME
OR WHO HAS
AS IDENTIFICATION.
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OFNO ARYPUBLIC TYPE OR PRINT NOTARY
COMMISSION NUMBER
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