HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division RECEIVED
2300 VIRGINIA AVENUE
FORT PIERj462155382�652 OCT 0 9 203'9
ST. Lucie County, Permitting
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
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(Parcel Id#/Legal
SCANNED
- -BY
St. Lucie County
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.
arntAe( y/o
Property Owner Name (Plea
STATE OF FLORIDA, COUNTY OF'S�t. 'Q
ACKNOWLEDGED BEFORE METHIS ` DAY OF Oct' 20AL
BY %, Og \ '-"�'OAkpo V131C--A WHO IS PERSONALLY KNOWN TOME CEJ OR WHO HAS
PRODUCED \ L !A L AS IDENTIFICATION.
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SIGNATUREOFNO YPUBLIC TYPE OR PR
(,G 7- OMMISSION NUMBER
SLCPDSD Revised 04/112011
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