HomeMy WebLinkAboutFILLED LAND AFFIDAVIT-perm-4-
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PLANNING & DEVELOPMENT SERVICESDEPARTMENT SCANNED
BUILDING & CODE REGULATIONS DIVISION BY
FO300 VIRGI FL 3VENUE32 St' Lucie County
(M) 462-1533
FILLED LANDS AFFIDAVIT
I, the undersigned, am the owner of the following described property,
Ormo
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 finther 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 a (Please int)
Property Owner Si! aV Date
STATE OF FLORIDA, COUNTY OF U
ACKNOWLEDGED BEFORE ME THIS DAY OF ' "^�`'" .20
wI S,
BY C��_WHOIS PERSONALLY KNOWN TONE WHO HAS
PRODUCED AS IDENTIFICATION.
SIGN 01, NOTARY PUBLIC TTY WOR PRINT NOTARY
I 1 13 - W4SSION NUMBER
(SEAL)
3yKA JESSICA DIXON
MY COMMISSION
1e#ryEE 161131
SLCPDSD Rwifed 0a242010 ....2016
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