HomeMy WebLinkAboutFilled Land Affidavit _•:_.,_
01
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PLN&DEVELOPMENT SERVICES DEPARTMENT
ING&CODE REGULATIONS DMSION `'
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:e rsg ' sty 3 2300 VIRGINIA AVENUE C
FORT PIERCFL 34982 5652 iEl
CM)462-1353 'OCT 2 3 zgl?
AFL LED LANDS AFFIDAVIT
St. Luc e�dt7?IN
County FL
I,the undersigned,am the owner of the folio
wu;<g described IrvPiatY,
(ftrcd IMnAWA dwn 3ftW ) \
z: Qac•est I end Pro-�- SI �� ►1 C ol�n m�� e e nrne n �,J�3 gam.
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.
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:mat adversely affect the immediate
community.
Propeft Owner Name(Please Print) _
kDifllie�1~�/ T
STATE OF FLORIDA,COUNTY OF
ACKNOWLEDGED BEFORE ME TH[S _DAY OF > oJ 20 ; 1
�Li_eWHO IS PERSONALLY OWN TO u E ✓OR WHO HAS
- AS IDENTIFICATION.
SIGNATURE OF I D
NOTARY PUBLIC TYPE OR PRINT NOTARY
COMMISSION NUMBER
AL)
,`O4npV nrs�4 CARLA NELSON
r• .`= Notary Public-State of Florida
s~ Commission # FF 965535
SLCPDSDRevimd0WW2010 'rFOF�� My Comm. Expires Feb 28,2020