HomeMy WebLinkAboutFilled Land Affidavit i
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building &Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652
(772)462-1553
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FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
UDOIS" 1Qrh 3LOCK NOloaAy N7 AT SY (del-E
(Parcel Id#/Legal description/Address) Nd L 164Y 61/r l P,T#
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 NOTI 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',!I in any form,
adequate drainage off my property which will not adversely) affect the immediate
community.
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Propera me leas Pr`s iI
Prope Own Agqa4e Date
STATE OF FLORIDA,COUNTY OF
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ACKNOWLEDGED BEFORE ME THIS�DAY OF G 1 20 f (a
BY JA 11 Al LU �� WHO IS PERSONALLY KNOWN TO MEQ( �OR WHO HAS
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PRODUCED f AS IDENTIFICATION.
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?NATURETARY PUBLIC TYPE OR PRINT NOTARY
MISSION NUMBER
(SEAL)
SLCPDSD Revised 04/11/2011ISM
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