HomeMy WebLinkAboutFilled l and affidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
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Building & Code Regulations. Division
• 2346 VIRGW A AVENUE
FORT PIERCE, PL 34982-56.52.
(772.) 462-155:3
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the fallowing described property,
q564 !2397 S 19Q/A,)MFM U ,JQOJ J 1 EACW
(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 WILL NOT be adversely affected.
I further acknowledge that in granting this permit for the development of this property,
5t. 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.
Sa,kJYA &0W AJ
Property 0 r Name (Plea e Print)
-3o-zo
wn Sign a Date
STATE OF FLORIDA, COUNTY OF MA 14-1IJ
ACKNOWLEDGED BEFORE ME THIS 3 DAY OF -�fj , 20 Z 10
BY Sa A 6960&) WHO IS PERSQNALLY KNOWN TO ME (__) OR WHO HAS
PRODUCED AS IDENTIFICATION.
�.� Juc.rE ►� ��� �.rsE
S ATURE OTAR'Y PUBLIC TYPE OR PRINT NOTARY
COMMISSION NUMBER
JULIE M SCALISE (SEAL)
MY COMMISSION # GG091020
'3 EXPIRES April 06, 2021
SLCPDSD Revised 04111/2011