HomeMy WebLinkAboutFILLED LAND AFFIDAVIT/(12 o q- 01:�-q 7
l PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code, Regulations Division
2300 VIRGINIA AVENUE.
FORT PiERGE;FL 34982-5652
(772) 462-1553
SCANNED
FILLED LAND AFFIDAVIT BY
St. Lucie C(wMy
l,. the undersigned, am the owner of the following described,property,
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(Parcel 101Legal.
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for which I have appliedto St: Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BR 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 no% 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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Proper OWnerSignat a DatT
STATE OF FLORIDA, COUNT%YOF _44
ACKNOWLEDCED`BEFORE METFIIS. ,VO DAY OF /iL<J%nt 20 ,
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BY j&LJ V)1d C-(200'g4;2---WHO IS PERSONALLITKNOWNTOME(�.WHO HAS
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P+r"°s� PEINNI"MOP,f315
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SLGPDSD Revised 0411112011 EXPIRES March 16, 2017
1407
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