HomeMy WebLinkAboutFILLED LAND AFFIDAVITF
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PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
FILLED LAND AFFIDAVIT SCANNED
BY
St. Lucie Countv
I, the undersigned, am the owner of the following described property,
(Parcel Idit/Legal descriptlon/AdgIe -5
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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Prope caner Name lease Print)
KoIferty Owner Signature (Rate
STATE OF FLORIDA, COUNTY OF ,,/q
ACKNOWLEDGED BEFORE ME THIS DAY OF D1T' 120
By La4�0 PERSONALLY KNOWN TO ME Cu I OR WHO HAS
PRODUCED AS IDENTIFICATION.SIGNATURE O OTARY P LICPE T N0 ARY-
COMMISSION NUMBER
(SEAL.)
•vat"�'••. AUDREYB.HUMPHREY
'�•;; MY COMMISSION# GG 300817
SLCPDSD Revised 04/1 l/2011 - EXPIRES: March 6, 2023
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""Fo%R;°.•�• Bonded Thru Notary Public Undenvrilers