HomeMy WebLinkAboutFILLED LAND AFFIDAVITr-
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PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIAAVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553 SCANNED
BY
FILLED LAND AFFIDAVIT St. Lucie Countv
I, the undersigned, am the owner of the following described property,
(Parcel
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.
Property Owner Name (Ple tint *Dat
Pro rty ne Signa re
ACKNOWLEDGED BEFORE ME THIS �-/h •�' DAY OF
BY r9it�Al2 �7 � � J ✓ wHO IS PER!
PRODUCED
COMMISSION NUMBER
SLCPDSD Revised 04/11/2011
20-L—&
OR WHO HAS
AS IDENTIFICATION..
(SEAL)
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