HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-I553 SC
FILLED LAND AFFIDAVIT sf�°ci ey�FO
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I, the undersigned, am the 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 , 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 O Name (Please Print)
Property Own6 ignatule
STATE OF FLORIDA, COUNTY OF S4. L4-AEJA.
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ACKNOWLEDGED 13EFFOO,R�E,METHIS 21 DAY OF /y O t' 20 ( 7
BY 1 t-a-VAi O�'�""� WHO IS PERSONALLY KNOWNTO ME(0) ORWHO HAS
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SLCPDSD RVLcd WI U201I
IDENTIFICATION.
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- MY COMMISSIONa-FF979530
EXPIRES Mamb 21.2020
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