HomeMy WebLinkAboutFilled Land Affidavit — , , PLANNING &DEVELOPMENT SERVICES DEPARTMENT
1- ` Building&Code Regulations Division
2300 VIRGINIA AVENUE
9 maw FORT PIERCE,FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
I,the undersigned, am the owner of the following described property,
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(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 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. v
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.
roperwner Na a(Please
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Property'Owner Signature Date
STATE OF FLORIDA,COUNTY OF
ACKNOOWLEDGED•BEFORE ME THIS DAY OF 1 1 1-&—C ) 20 L �P _,
By (�(�n �y W / WHO IS PERSONALLY KNOWN TO ME(_)OR WHO HAS
PRODUCED 1— CIBC LC 2 l — AS IDENTIFICATION.
SIGNA NOTARY P LIC TYPE ORP NOTARY
J!EF aJt 70,?COMMISSION NUMBER CATHY J ROBERTS
No"LpAp-State of Florida
Commission#FF 221708
My Comm.BExpires
ondedthro through National Notary Assn.
SLCPDSD Revised 04/11/2011