HomeMy WebLinkAboutFilled Land Affidavit PLANIVIl�IG&DEVELOPMENT SERVICES DEPARTMENT
* I ' Building&Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652
(772)462-1553 RECEIVE D
FILLED LAND AFFIDAVIT APR 0 8 20 i9
ST. Lucie Cooney; PEsrmitting
I,the undersigned,am the owner ofthe following described property,
/1.?0/—9 9 6 90 60 44/&�00-n
(P'areel IMILegal description/Address) �G
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 not adversely affect the immediate
community.
Property Owner Name ease rent)
Property Owner S ga"� Date
STATE014AL.COUNTY OF Ct..t r .�
i
ACKNOWLEDGED BEFORE METHIS DAY OF_ _20N
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BX TAI,w �A WHO IS PERSONALLY KNOWN TO ME(E}OR WHO HAS
PRODUCED AS IDENTIFICATION.
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NOT Y
PUBM TYPE OR PRINT NOTARY
COMMISSION NUMEER
(SEAL)
"FI-DI COOWTHIR
3LCFDSD ires on:
Revised�4J11/2o11 Notary Public state of Utah
E my Commission Exp
F July 17,2022
Comm.Number: 701380