HomeMy WebLinkAboutFilled Land Affidavit _- PLANNING&DEVELOPMENT SERVICES DEPARTMENT
o Building &Code Regulations Division
2300 VIRGINIAAVENUE
• FORT PIERCE,FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
I,the undersigned, am the owner ofthe following described property,
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(Parcel Id#/Legal description/Address)
for which I have applied to St. Lucie County fora Final Development Pt. In
accepting this Final Development Permit, BP Number — Kh;iedge
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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Pro erty Owner Name. as rint)
Property Owner Signa ure Date
S—t / t,
STATE OF FLORIDA,COUNTY OF
ACKNOWLED ED BEFORE ME THS \ DAY OF 20
BY RSNALLY KNOWN TO ME L—_)OR WHO HAS
PRODUCED L-- II AS IDENTIFICATION.
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SIGNATURE O OTARY PUBLIC PE OR PRINT N TARP
COMMISSION NUMBER
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ANGELA M HUFF (SEAL)
K.- +`�= Notary public-State of Florida
Commission#FF 234730
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Sb UPPIONitionaiNotaryAssn.