HomeMy WebLinkAboutfilename-1PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
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PILLED LAND AFFIDAVIT Z CM 1 f-5 F � � kC l e C 0. CW j
I, the undersigned, am the owner of the following described property,
(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 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 M L 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 er Name (Please Print)
&z'a_ r13
op" y Owner Signature IIate
—7
STATE OF FLORIDA, COUNTY OF__�'Lf_.
ACKNOWLEDGED BEFOR�,EEMEyyT�H�'IS �,%�DAY OF 2p�
BY F��b�—WHO IS PERSONALLY KN - N TO ME LC- OR WHO HAS
HAS
PRODUCED—
— C—PUB IC
OMMISSION NUMBER
SLCPDSD Revised 04/11IMI I
AS IDENTIFICATION.
TYPE OR PRINT NOTARY _
(sue) ::'•'•= M LORI ANTHONy #
�r OMMISSION GG02
EXPIRES Au4248
9ust 24, 2020