HomeMy WebLinkAboutFilled Land Affidaviti
PLANNING & DEVELOPMENT -SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553 -
FILLED LANDS AFFIDAVIT
I, the undersigned, am the owner of the following described property,
/Ilevc e, F< <3 y 01 qs--
Parcel I0ALegaldescription/
, dress,
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. _
® ja-,l e-- E,-),? m o !l S
Property Owner Name (Please Print)
Prop Owner Signature Date
STATE OF FLORIDA, COUNTY OF
%i
ACKNOWLEDGED•BEFOI THIS / DAY OF • � 20 ��
BY � vbC-' % -601S PERSONALLY KNOWN TO ME• OR WHO HAS
PRODUCED
-CONWSSION•NUMBER
SLCPDSD Revised 0824/2010
AS IDENTIFICATION.
(SEAL)
„?'Py •, AUDREY B. HUMPHREY
MY COMMISSION # FF 174772
EXPIRES: March 6, 2019
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