HomeMy WebLinkAboutFilled Land Affidavit •
aulimmilmilh PLANNING&DEVELOPMENT SERVICES DEPARTMENT
COUNTY � Building&Code Regulations Division
F L O R I D A - 2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
I,the undersigned, am the owner of the following described property,
Ci C-)4C-) ® arq.0Icoo
(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 tge., SO2_'5I 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 not adversely affect the immediate
community._lecryNif-uo \Laic
Property Owner Name(P ease Print)
6103 -
•rope Owner Signature Date
STATE OF FLORIDA,COUNTY OF041
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ACKNOWLEDGED BEFORE ME THIS I 4/ DAY OF'' P) .20/(J
& n ,
BY f i C. C a 1WH�IS ERSZCALLY KN6WN TO ME(D)OR WHO HAS
PRODUCED AS IDENTIFICATION.
SIGNATURE OF NJ ARY i:LIC TYP: •R PRINT NOTARY
COMMISSION NUMBER
(SEAL)
•
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