HomeMy WebLinkAboutFILLED LAND AFFIDAVIT91
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
FILLED LANDS AFFIDAVIT
I, the undersigned, am the owner of the following described property,
Id#/Legal description/Address) 110413
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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.
jPropertyi d a (Pease ir Si ature D e
STATE OF FLORIDA, COUNTY OF 64ILT A)
3
ACKNOWLEDGED BEFORE ME THIS -,DAYOF 1%J 0! 3
BY�(,[� dFLc, o WHO IS PERSONALLY KNOWN TO ME _ OR WHO HAS
PRODUCED
AS IDENTIFICATION.
tTUR C Z
SIIGNATURE OTARY PUBLIC TYP 0 TNO ARY
COMMISSION NUMBER
(SEAL)
i:i?,', AUDREY K. KLELVAK
Comm ssion # EE 086653
• a Expires July 6, 2015
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