HomeMy WebLinkAboutFILLED LAND AFFIDAVITGo ! -(nD,
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
SCANNED (772) 462-1553 R EC E U r
BY
St. Lucie County FILLED LAND AFFIDAVIT FEB - 4 2016
Public Works
St. Lucie County, FL
I, the undersigned, am the owner of the following described property,
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(Parcel Id#/Legal
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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Property O er Na (Pleas riot)
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Prop Own igna Date
STATE OF FLORIDA, COUNTY OF -371 90 L- I
ACKNOWLEDGED BCE ME FORE THIS 1 S^ DAY OF Fe b� v 20 �
BY VCPC CJ1
/e.0 n WHO IS PERSONALLY KNOWN OME?K OR WHO HAS
PRODUCED AS IDENTIFICATI(
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SIGNATURE OF NOTARY P IC TYPE OR PRINT NOTARY
EE Z Z OIc 9� COMMISSION NUMBER
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MY COMMISSION B EE 22 M
r• - EXPIRES: July 31,2016
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SLCPDSD Revised 04/11/2011