HomeMy WebLinkAboutFILLED LAND AFFIDAVIT9a
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-I553
RECEIVED
SCANNED FILLET) LAND AFFIDANiT
BY OCT 2 3'03?9
St. Lucie County
ST, Lucie County, Permitting
I, the undersigned, am the owner of the following described property,
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(Parcel IM/Legal
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for which I have applied to St. Lucie County for a Fugal 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 @ ILL N®T be adversely affected.
I farther 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.
I- IdtWmj I y Ia 011
pwner Name/(Please Print)
Owner Signature Date
STATE OF FLORIDA, COUNTY OF WC/e-
ACKNOWLEDGED BEFORE ME THIS o2� DAY OF �C� PO / /
BY / -1•IA tit fi ? / cl WHO IS PERSONALLY KNOWN i0 ME (aOR WHO HAS
COMMISSION NUMBER
SLCPDSD Revised 04/11/201 I
AS IDENTIFICATION.
TYPE OR PRINT NOTARY
(SEAL)
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RHONDASROWE
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Commission#GG104656
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Expires May19,2021
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