HomeMy WebLinkAboutFilled Land Aff_SHEDDocuSign Envelope ID: 04DC1AE6-CA8A-4DOA-8377-AB23B492F534
PLAINANItiG & DEVELOPMENT SERVICES DEPARTMENT
L3L,I �;�fg 'ldi ' Code I:egulations DiviSlon
--M- O .
2300 VIRGINIA AVENUE
_ FORT PIERCE. FL 34482-5652
(772)462-1553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
(pa.maj jdW gg descrlptlnn/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 3&jLL N4 T 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 of ect the immediate
community.
Thomas suchon
Pr£}I)erty Owner Name (Please Print)
DocuSigned by:
wlas Sut.%eln.
---i'aeeiu.:P `iiEjifitii'i'f:
4/8/2020
D. -Me
STATE OF FLORB)A, COLNTY OF --P
ojj%
ACKNOA1,FW, l') BEFORE "AF TEAS ---- ------ DAY OF 20 _ � 0,
BY __-flab l 1 JAS- --�C K O- i AVIO Is PERSONALLY KN( -)W -N TO %1E OR WHO HAS
AS IDE'WIFICATION.
--bearya J -6 6-r �
TYPE OR PRINT INOf R '
N,-Ljk4BFR
(SEAL)
DEANNE L. JOHNSON
MY COMMISSION # GG251845
�For� EXPIRES: July 17, 2021
SLCPDSD R ^via.d 04:11:2011