HomeMy WebLinkAboutFilled Land Affidavit �0 G
PLANNING&DEVELOPMENT SERVICES DEPARTMENT
Building&Code Regulations Division
COUNTY
. R I D A 2300 VIRMIA AVENUE
FORT PIERCE,FL 34982-5652 =RECEIVED(772)462-1553.
FILLED LAND AFFIDAVIT
I,the undersigned, am the owner of the following described property,
(Parcel IdMegal description/Address)
for which I have applied to St. Lucie County for a Final Development Permit. In ,
accepting this Final Development Permit, BP Number . (o 4$7 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..
Propaperty.rm
Signature er Name lease Print)
Pr r Owner Si ature Date OW
STATE OF FLORIDA,COUNTY OF
ACKNOWLEDGED BEFORE ME THIS ?�1 DAY OF Yi to 20A_,
BY '�^„a CD�P WHO IS PERSONALLY KNOWNTO ME( OR WHO HAS
aPRODUCIEX ` AS IDEN/TIFICATION.
SIGMA 4PUBLL TYPE OR PRINT NOTARY
COMMISSION NUMBER.'
vr P&"+ EAWA CHRIONE LYNCH (SEAL)
' Notary Public--State of Florida
® Commission N GG 962661
My Comm.Expires Feb 26,2024
SLCPDSD Revised 0411 1/20 1 1
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