HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIFRCE, FL 34982-5652
(772) 462-1553
FELLED LAND AFFIDAVIT SCANNt-0
BY
8L Loo coum.
1, the undersigned, am the owner of the following described property,
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(Par6el
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 WELL 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.
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Pr e r Name (PI&iW]Prim)
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�bVerly OV.Mer Signature Date" ' '
STATE OF FLORIDA, COUNTY OF
-F ACKNOWLEDGED BEFORE NE TI-NS ILI DAY . f-dij 20
IS PERSONALLY PNOWN TO W Ck!!::�OR WHO HAS
IDENTIFICATION.
TYPE OR PRINT NOTARY
,�'L,R—/7—Y-3--.;�11--COMMISSION NUMBER
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EXPIRES: June 26, 2017
B,,d,d Thr, Ntaq PUbIle UndeMbM
SLCPDSD Revised 04/11/2011
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