HomeMy WebLinkAboutFilled Lands AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
23UU VIKCi1NIAAVE;NUE
FOR 1 PIERCE, FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following dcscribed property,
1314'lqY- 00co-opb-o -7310 T►idr:,, 12d. d� /°'U'u/ Fl, 3Y9.5/
(Parcel Id#/Legal description7Address)
for which I have applied to 5t. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Numbrr 9603- 0333 , I acknowledge
that as uwncr of the above described property, and in accordancc with Section
7.04MI(D), St. Lucie County Land Development Code, I shall be rr'spunsible for assuring
adequate drainagc su that the immediate community WILL NOT be advriscly affected.
I further acknowlcdgG that in granting this permit for the development of this property,
St. Lucie County is neither obligrd nor liable to provide for, or maintain in any torn►,
adequate drainage oft- my property which will not adversely affect the immed►atc
community.
We7Qd R� 1tS� LLe-
Property Owner Name (Please Print)
Proper Owiiei Signature Date
STATE OF FLOKIDA, COUN I Y Oh
_ L LQ-,
ACKNOWLEDGE EFORE ME THIS 44 DAY OF .20
aa,
By 50 WHO ISYEKSONALLYIuvUWN10mEIM) ORWHO HAS
AS IDENTIFICATION.
COMMISSION NUMBER
SLCPDSD Revised 04/1 I /2u 1 I
,�' P'•, KIMBER-LY A HAUSER
TN
rq�ic- tate of Florida
•; Commission , GG 3oV981
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My Commission Ex ues
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