HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE SCANNED
FORT PIERCE, FL 34982-5652
(772) 462-1553 BY
St. Lucie County
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
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(Parcel 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 , 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 Own& Name (/Please Paint)
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P10 erty Owne S ature Date
STATE OF FLORIDA, COUNTY OF1U ,31.at-a
ACKNOWLEDGED BEFORE
� nME
THIS_ _�� DAY OF \ 1L .I�d.�,J , 203 1 ,
BY �- Lyupr \ WHO IS PERSONALLY KNOWN TO ME (El OR WHO HAS
�y(PRODUCED Y, Vim- -IX. F
1 �i9-x1�f��rw' c ` � D1.31tihT
�GN�UREOFNOTARY LIC
COMMISSION NUMBER
SLCPDSD Revised 04/11/2011
TYPE OR PRINT NOTARY
MING
tASt1AHNMINGRAM=0
My COMMISSION # 0 2022
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IDENTIFICATION.