HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Roplations Division
2300 VIRGINIA AVUNUE
(772) 462-1553 RECEIVED
FILLED LAND AFFIDAVIT AUG 0 6 n.19
ST. Wele Getintyj permfulng
SCANNED
1, the undersigned, am the owner of the following described property, BY
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(Parcd ld#/Lvgal ftseription/Addrms)
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 wsponsiblo 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, Luoic County is neither obliged nor liable to provide for, or maintain in any forin,
adquate drainage off my property which will not adversely affect the immediate
community,
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Propurty 0wrior Ninor (Plu Q t) I
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Proprity Own@r Signoturc Dat$
STATE OF FLORIDA, COUNTY OF 6k- - L-LDCA 2-
ACKNOWLEDOED 13EFORE M13 THIS
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WHO 13 PER50NALLY KNOWN TO ME (0) Oft WHO HAS
PRODUCED A -
AS IDENTIFICATION,
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NIONATURE OF NOTARY PUBLIC
TYPE OR PRTNT NOTARY
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c 6 my Commission FF 931228
Expines IW2712019
SLCP1)SD Rwiwd 04111/2011