HomeMy WebLinkAboutFILLED LAND AFFIDAVITSCANNED
BY
�t. Lucie County
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, Fl, 34982-5652
(772) 462-1553
FILLED LAND AFFIDAVIT
JAN 6 2020
Permitting Department
St. Lucie County, FL
I, the undersigned, am the owner of the following described property,
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(ParcelId#/Legal
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number 19 I j) - 614 3, I acknowledge
that as owner of the above described property, and in accordance with Section
7.04.010)), 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 O er Nam lease Prin
Propey Owner Signature D f e
STATE OF FLORIDA, COUNTY OF -9-r- C--I-C[ `n
ACKNOWLEDGED BEFORE ME THIS
BY �4i vii I�ticn� cY C
OF NOTARY PUBLIC
COMMISSION NUMBER
SLCPDSD Revised 04/112011
_DAY 2®
WHO IS P�QNALLY�KNQWNTOIVV�M02R%HO HAS
-� ASIDENTIFICATION.
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TYPE OR PRINT NOTARY
(SEAL)
Donald Lewis 13IU116I16%
NOTARY PUBLIC
STATE OF FLORIOA
Camm# FF081837
I. Expires 4/13/2020
- M ITS C� 1 LUCIECO. O t�.G1