HomeMy WebLinkAboutFilled Land Affidavit PLANNING&DEVELOPMENT SERVICES DEPARTMENT
Building&Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE,Fl,34982-5652
(772)462-1553
RECEIVED
FILLED LANDAFFIDAVIT
JUN 10 pgjq
ST. Lucie County, Permitting
I,the undersigned, am the owner of the following described property;
a'A"6 11- 4-a1—-IC)CZ i5_ ()6 V.)—Q
(Parcel ld#ALegal description/Address)
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.
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Property Qer Name(Please Print)
/7
roe Owner Signature Date
STATE OF FLORIDA,COUNTY OF Z-1)r, 13 C-.%4:Z
ACKNOWLEDGED BEFORE ME THIS DAY OF %)V _20
LN_
BY IS PERSONALLY KNOWN TO ME C_)OR WHO HAS
PRODUCED— AS IDENTIFICATION.
�SIGNA�TOFNAR�YPUBLIC TYPE OR PRINT NOTARY -
COMMISSION NUMBER
DEANNA MARIE C' _N'
My CoMhVS GG 0?,2o23
EXPIRES*.DetembOt I0,2020
PublIr
-b?�F j3,,ded1`hrUN0tary
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SLCPDSD Revised 04/11/2011