HomeMy WebLinkAboutFILLED LAND AFFIDAVIT�. PLANNING &DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGMIA AVENUE
iYll PORT PIERCE, FL 34982-5652
(772) 462.1553
1, the.undersigned„am
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(Parcel
FILLED LAND AFFIDAVIT SCANNED
BY
St. Luce Countv
owner of the following described property,
for which I have applied' to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number _+¢ pqQle7L I acknowledge
that as owner of the above described property, and in accordance with Section
7.04.0l(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 thedevelopment 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 Naine(Please Print)
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Pr brty Oner Signature Date
STATE OF FLORIDA, COUNTY OF . "ARr1AJ
ACKNOWLEDGED BEFORE METHIS'. I t+k DAY OF �ANUA .i
BY (- ou-NAP* 1.17:• Fctr� WHOIS PERSONALLY KNOWN TO ME( )OR WHO HAS
to ITIFICATION.
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,e t„ , NICOLE MULLIN03 SQUTAE
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My COMM. EXPIS Mar 15, 2019 -.
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SLCPDSD Revised 04/1 Ural -
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