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 County
I, the undersigned, am the owner f the following described propert
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(Parcel IM/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 Owner Name (P] a Print q
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Prerty Owner Signatull Date
STATE OF FLORIDA,
}1 ^S'IGN IAT {U�RRE OF NOTARY PUBLIC
�L1 •• e 1 �14Ut l COMMISSION NUMBER
SLCPDSD Revised 04/11/2011
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OF 20
ERSONALLY KN WN TO ME 6Z OR WHO HAS
i� AS IDENTIFICATION.
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TYPE OR PRINT NOTARY
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