HomeMy WebLinkAboutFILLED LAND AFFIDAVIT;a
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PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
SCANNED
FILLED LAND AFFIDAVIT BY
St. Lucie County
I, the undersigned, am the owner of the following described -property,
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description/Address)
for which I have applied to St. Lucie County for a Final Developmen Permit. In
accepting this Final Development Permit, BP Number - D 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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Prope Owner Nal17p, (PI s� a Print)
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F( rope wnerSignature Date
STATE OF FLORIDA, COUNTY OF J `y L J'C
ACKNOWLEDGED BEFORE ME THIS DAYOF ,20
BY L WHO IS PERSONALLY KNOWN TO ME (19 OR WHO HAS
PRODUCED 'r � ��IVe/3 Ir e-+ eL AS IDENTIFICATION.
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SIGN T> TARY PUBLIC TYPE OR PRINT NOTARY
COMMISSION NUMBER
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SLCPDSD Revised 041112011