HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE SCANNED
FORT PIERCE, FL 34982-5652 BY
(772) 462-1553
St. Lucie Countv
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
3)a -0 W /)„A (5dceer) �dZ
(Parcel Id#/Legal descriptioo/A7tdres8l
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.
4•..P. )g.
Date
STATE OF FLORIDA. COUNTY OF
ACKNOWLEDGED BEFORE ME THIS DAY P 20�
By—
Y �ISi ALLY KNOWN TO Ivffi(CJ OR WHO HAS
PRODUCED
AS IDENTIFICATION.
SLCPDSD Revised 04/112011
(SEAL)
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MY
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