HomeMy WebLinkAboutFILLED LAND AFFIDAVIT,_._ PLANNING & DEVELOPMENT SERVICES DEPARTMENT
0 2 ' Building & Code Regulations Division
2300 VIRGINIA AVENUE
immmmmommoisw FORT PIERCE, FL 34992-5652
(712)462-1553
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FILLED LAND AFFIDAVIT Sp Le Ccaa>rr,
I, the undersigned, am the owner of the following described property,
1433-210-0003-000-9 / 118 N. Erie Drive, Lot 118
(Parcel 1011kgal description/Address)
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit BP Number 1911-0050 1 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.
Property Owner Name (Please 'at)
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)Ppoffyl�%ftrsiknatua Date
STATE
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ACKNOWLEDGED BEFORE METHIS I�DAY OF r)f1 UffnM -Qr_. 20 I �
BY 1/U C7/1i.0)1%%'=111"o is PERSONALLY KNOWNTO ME(L21OR WHO HAS
PRODUCED AS IDENTIFICATION.
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SIGNA R'OF OT US TYPE OR PRINT NOTARY
SLCPDSD Rdised 04/11/2011
COMMISSION NUMBER
(SEAL)
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RHONDASTROUD
COMM46W A GG 138M
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FxplrmAugust28,2021
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