HomeMy WebLinkAboutEvaluation Report . - PLANWI\G&DEVELOPt►i-NIT SERVICES DEPARTMENT
ogles Building&i;Code Regulations Division
-0vtRGl3%1L%AVrN :
FORT MRM Ft.
(77Z)ty.I S53
FILLED LAND AMDAVIT
1,the undersigned,am the o%%wr of the following desctrilxd propeny,
01
(Parcel l -des6pttca/Ad OLD`°K 'ba 9 (nW-'PAR,%C 001/7 11
for which 1 have applied to St. Lucie Cowdy for a Final Devc!opmem Permit. in
accepting this f=inal Development Permit,BP Numbcr2a%-O(6?, 1 acknowledge
that as owner of the above described prop.•, and in accordance with Section
7.04.01(D),St.Lucie County Lauri D:velapnx=Cade,1-shall be rcspomiblc for assuring
adequate drainage so that,the immediate community VVEM NOT be adversely affected_
I further acknowledge that in Smntutg this permit for the&-relopment of this property,
SL Lucie County is neither obliged nor Iiaolc to provide far, or maintain in any form,
adequate drainage off ray property which will not t.&c sely aticct the immediate
community.
ih+,crNam. (Please Pray)
DV
ZPr,-P,VAO"=sib 'fie
STA7EOFFLORMA,COUNTY 4F9"
1
ACf: O NIULEF M BUOP.F..SLE 17 wLY UT
DY
u L�PEsSO`tAILI'XLi7wto?DJlE{�jOR•.WO HAS
PdUbt3C£H _ • AS[DF 11LICAM.N.
SIGKATLRF.rI?NO-s MMUC 7: Q$F 3 <.rA1Y
CO?=L14a�G1''.=la4r��
j
tz�•3
STGQ1.011 :'pare AUDPt:`i
my
F`0•. Bended
, Yey' AUDREYB.HUMPHREY
*: MY COMMISSION#GG 300817
EXPIRES:March 6,2023
Bonded Thru Notary Public Underwriters