HomeMy WebLinkAboutFilled Land Affidavit L' AI4NII'G & DE��ELOPMENT SERA ICES DEIN RTi��El�°T
lei ;�!1': Building &, Code Regulations Division
it tl 1�,
F(51 C r 3'I ItCa:. F 1.3 11 91K 5.6,
(77 2);E2-1553
I
FILLED LAND AFFIDAVIT
"D
I,the uyi; eI led, and the -awl.er of the following dewribcd property,
j S 0V 4�
Marc' ] tdkt oai descriptimVAddress) I
for V-?Ill�icli hail*e applied to 5t. Lucie County for a Final Dcl: jelopni nt Permit. in
.:ec'e.' Iltmg, tli s Final Development tent Pcrn?it, HP 1=>+nihcr I acknowledge
tha t. , mvncr o'I the .:bowie described property, and in acccrdanc-e with Section
7. id I(D);'St:Lucie (County Land Develrr mcnt Code, I shall be r ponsible for assuring
a€leo, ate crania a s that the immediate community WILL NOT-1 be adversely affected.
I fust er adknowleoge that in granting this permit for the do elo mens of'this property,
St L c; , C t.tity is. neither obliged nor liable to prov=ide for, or maintain in any form,
adea,II atO drainage off my property tw=Bich will. not ad,%'cr cly.�affect the immediate
c4}C;710.7
21tllil£}' I
li 1 ;il�
Pm&'ic•'.V 0,xi' Na (Mcaso Print)
P ,,CfL C•R,C��I C,�alAtLi� DAG
!I I'I
it
sV,i11'! JE',4' .ir.{II1?:ti.,L'X)I:1ti'I Y`OF
A ',''' %Vr,tlC!i1�171?fir(.]lils!,iEil'1i1'. _I 2 Y o1'_.1'l�. ___- _ ..•'C_�., ---'
•f,l 1i �� Y -
1 _'N€ OISPt".&D:`ALLhNL)*�ti.44tU'It1,Ii_Jrl!.NVLII.)Iir't�
v r
rlrrai't :riFIlUc►d(�._.t �1� 's �1C�211 _ ,�smFhrltl�.AT7Oti
Sl iNlo;it, RF iIF;~A'il7A PU111,317 ivP'I:QR.Plk rNcr'�' RY
': ll"
AN=-&jab fto
NOTARY PUBLIC
1 .P STATE OF FLORIDA
CmmW FF872407
lL{'t'!) t1 3t:'."ti]L lW f Ll=?III EvIfm 3A'7/2M
Iii l:ll '
1,I. Ili f l 11 it
,k,aj I Itrl;
I. I�