HomeMy WebLinkAboutFilled Land Affidavit®u.� PLANNING & DEVELOPMENT SERVICES DEPARTMENT
• Building & Code Regulations Division
�r 2300 VIRGIINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553 RECEIVED
FILLED LAND AFFIDA JUL 16 .,.020
ST. Lucie County, Permitting
I, the undersigned, am the owner of the following described property,
►�31- 1001.91aa-Oo .. r>,.
(Parcel Idk/Legal description/Address)
for which 1 have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number
nowl
that as owner of the above described property, and in ae1Nhlh Section
edge7.04.01(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 Coullty 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.
Edo M
Property wrier Name (please Print) 7�
Proper�gna�— V
Date
STATE OF FLORIDA. COUNTY OF 11 I I u, C I J
ACKNOWLEDGED BEFOREMETH/I1S�_��II !) y�
Q , _ -I^ �L/l r l DAY RSOF, 1 vLN'1�. 20_ (7�
BY ���-it/�t�/�'I'1
WHO IS PERSONALLY KNOWN TO ME f� OR WHO HAS
PRODOCED
I^� AS ,IDENTIFICATION
SS NAN rAR 11BLlC "IL�AQ� nllt! JONr+J�
TYPE OR PRINT NOT,_
I COMMISSION NUMBER
(SEAL)
SLCPDSD Revised 04/II/2011
, `"777RICHAP.O DOUGLAS JOHNSON
)l; Notary Puabc-SU1`e01ndrka
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My Comm. Erpres Mar p0, 2J21
on BWedlNayh Nalenal Nolagkcn.