HomeMy WebLinkAboutFilled Land Affidavit 1
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_- - -• PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT ✓�
I,the undersigned, am theowner of the following described property,
gof Ag --SO / -- 003 :3 -- 0c) v —
(Parcel Id#/Legal description/Address)
for which I have" applied to St.. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP NumberI 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) /
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77
Property er Si afar w7 D to
STATE OF FLORIDA,COUNTY OF
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ACKNOWLEDGED BEFORE ME THIS DAY OF 20 f
BY I WHO IS PERSONALLY iNOWN TO ME L__)OR WHO HAS
PAR AS IDENTIFICATION.
Mmma M. �e&oI4: S
SIGNAT OF NOTPUBLIC TYP R P NOTARY
MMISSION NUMBER
WEAM.Brooks
4) RY PUBUe
STATE OF FLORIDA
Comm#FF135V1
. EMIMSS2312018
SLCPDSD Revised 04/11/2011