HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINDI AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553 SCANNED
BY
FILLED LAND AFFIDAVIT St. Lucie County
I, the undersigned, am the owner of the following described _proer, /
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Ar-ss c4NA4 Plw- *;oO Xo725 as S/IX /0 aa6 -/.55s !.1/3 fl�l/d ass
(Parcel IM/Legal descrilftion/Address) i lw y l
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 Owner Name (Please Print) -
Pr erty OWner Signature at
_STATE OF FLORIDA, COUNTY OF U11Wbiae
ACKNOWLEDGED E RE M!JTHIS� DAY OF I/ f 0 ,
BY�MIF ryy WHO ISPERSONALLYt OWN TO ME ORWHOHAS
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EXPIRES August 16. 2019
SLCPDSD Rmiud 04/112011