HomeMy WebLinkAboutFilled Land Affidavit V PLANNING&DEVELOPMENT SERVICES DEPARTMENT
Building&Code Regulations Division
• 2300 VIRGINIA AVENUE
INN FORT PIERCE,FL 34982-5652 T. rt D
(772)462-1553
MAY 14 21020
FILLED LAND AFFIDAVIT ST. Lucie County, Permitting
I,the undersigned, am the owner of the following described property,
(al olen /30>< �l3 06ao o0o s aN-rl f &42,0
(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,
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.
P ty O er Name(Please Pri
Prop rty Owner§ignat&e Date
STATE OF FLORIDA,COUNTY OF J 1:t1 L
e-
ACKNOWLEDGED BEFORE ME THIS DAY OF P- 20'd-
b ,
7
BY �'� ,`� CLr' CL dWHO IS PERSONALLY KNOWN TOME U OR WHO HAS
PRODUCED AS IDENTIFICATION.
SIGNATURE OF NOTARY PUBLIC TYPE OR PRINT NOTARY
COMMISSION NUMBER
=0FVWExpims02/07r2=
01 Fiorlda
dell
n GG 183994
/2022
SLCPDSD Revised 04/11/2011
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