HomeMy WebLinkAboutFilled Land AffidavitPLANNING;& DEVELOPMENT SER' ' DEPARTMENT
a Building & Code Regulations Division.
23 Q �TAON AVENUE, - '
FORT PIERCE, FL 3499 5652'
RECEIVE®
FILLED `LAND AFFIDAVIT
SEP 192019
ST. Lucle County, Permitting
e'un ersigned, atn'the owner -•of the .following des" Abed property
(Parceh.Id#/Legal descnphon/Address)
for -which I have applied �-to St. Lucie; County fox INa Final , Development Permit. In
accepting th1s; F1nal,Development Permit, - P 1Number I acknowledge
that as. ownei of the above descrnbed property, $and i11 accordance wrath Section .
21�7.04'OI�D), St. Lucie County Land Development Code, I shall be responslile for assuring
adequate drainage so; thatj'the Imnaedlateucommumty,WIL_,abe adversely.affected..
I further acknowledge that :ln gratntnn this erm><t for the evelo went of this: roe ``"` .
g P i P p Pity,
St..Lucie County 1s' . neither." obliged nof,11able : to pro vnde tfor, or` manntain 1n any fo 7ri!, "
adequate drainage off my property which will not adv„ersely.. affect the pined ate
GOn11nI1Tllty ;
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VI
,
�roperty 0 N leas ` t)
5n-i''r�clr� p, Q o�on-1 nCa.
Property Owner ,Signature Date
STATEOFFLORIDA COUNTY OFYel/ard
ACIINOWLEDGED BEFORE Ml. THiS r 1 DAY OF tm fLi 20
�Elri n '� WIiO•IS PERSONALLY"KNOWN TO ME(� OR;wHO HAS;
"PRODUCED; I
AS TD6IVTIFICATION'
:m
3
SIGNATUIti OF �TARY PUBLIC TYPE O PRINT NOTARY
SLCPDSD Revised 0411I12011 5 otvgY Po SONJA LOUISE PEDRETTI
`Notary Publk State of Florida
• Commission # GG 142839
r MY COMM. Expires Se
3, 2021
z 8crdedthrau5h6atlonzAotaryAssn } � 2
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