HomeMy WebLinkAboutFilled Land Affidavit PLANNING&DEVELOPMENT SERVICES DEPARTMENT
o Building&Code Regulations Division
• - 2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
RECEI'.' 7D ;.SAY 0 9 7.06
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I,the undersigned,am the owner of the following described property,
(Parcel W/Legal description/Address)
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for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number 9-Z , 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.
I fiirther 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 'gnature Date
STATB OP FLORIDA,COUNTY O & F rYt`Yew 0
ACKNOWLEDGED 4_BEFORE ME THIS rP DAY OF�( .20 L t4 ,
BY 'r✓d i .LS N/KtA A4 WHO IS PERSONALLY KNOWN TO ME C t, OR WHO HAS
PRODUCED AS IDENTIFICATION.
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SIGNATURE OF NOTARY PUBLIC TYPE OR
E}(PIAE3;Auflust22,2017
COMMISSION NUMBER �a �ny�r°� QadadltNllQpNHotuyS►dktl
(SEAL)
SLCPDSD Revised 04/I V2011
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