HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
` Building & Code Regulations Division
2300 VIRGRUA AVENUE RECEIVED
> FORT PIERCE, FL 34982-5652 ,
(772)462-1553 OCT 3 0 2019
SCANNED FILLED LAND AFFIDAVIT ST. Lucie County, Permitting
BY
St. Lucie County
L the undersigned, am the owner of the following described property,
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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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operty Owner Signature Date
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFORE METHIS DAY OF C 20_1�
BY /i f B E)L7 %] IS PERSONALLY KNOWN TO ME (Z]) OR WHO HAS
PRODUCED /y/���� AS IDENTIFICATION.
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ATURE OF NOTARY PUBLIC TYPEORPROATNOTARY
COMMISSION NUMBER _
SLCPDSD Revised 04/11/2011
(SEAL)
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