HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & 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 Countv
I, the undersigned, am the owner of the following described property,
(Parcel Id#/Legal description/Ak-ddrreeso
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.
Fob_e tJ
�Prppe �e5 a leas rint)
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�P[o9 ianec—SfgdAtureMIDatea r
STATE OF FLORIDA, COUNTY O
ACKNOfjWLLEDDGED�BEFORE
{MME THIS 1�_DAY OF� 20�
BYRV?Ng-) 1 0 /� I G 11 I _WHO IS PERSONALLY KNO TO ME (_) OR WHO HAS
1
:PRODUCED AS IDENTIFICATION.
SI ATURE OF T PUB C TYPEORPRINT �NOTART
COMMISSION NUMBER .
(SEAL)
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SLCPDSD Revised 04I112011 ;:y0"•"t,,•�_ AUDREY6. HUMPHREy`
. Ml"COMMISSION#GG'30W---
`v, e ` EXPIRES: March 6;2023' - ,
°odPtScr 80nd0dThru Notary Pubs_undennilury
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