HomeMy WebLinkAboutFILLED LAND AFFIDAVIT® PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
_ FORT PIERCE, FL 34982-5652
(172)462-1553.
FILLED LAND AFFIDAVIT St SCAM b
�uBUE? County
I, the undersigned, am the owner of the following described property,
Po S- US
(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(0), 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 fiutheracknowledge 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.
STATE OF it1:01MA; COUNTY OF U/1�DYY%C/
SLCPDSD:Revised 04/11/2011
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Date
Commonwealth of Pennsylvania - Notary Seal
Montgomery CountyL:Y'EIDRAL18ERRY-N,t,,yPublfc
Commission Expires Oct 2, 2022
Commission Number 1237439