HomeMy WebLinkAboutFilled Land Affidavit (2) v- �-^-- = ; PLANNING & DEVELOPMENT SERVICES TENT
o Building & Code Regulations Divi EIVE
_•__' 2300 VIRGINIA AVENUE
WINFORT PIERCE,FL 34982-5652
(772)462-1553 APR 11 2017
FILLED LAND AFFIDAVI
BY:
I,the undersigned, am the owner of the following described property,
�L102—(D02-diyl_—ill 51(1 9� Pit-fez
(Parcel Id#/Legal description/Address)
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number 1 7V d_O'13 l , 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.
Property!Ote)N e( e e Pr' t)
Property Owner Signature Date
WV
STATE OF Fh"Rt"HA,COUNTY OF
ACKNOWLEDGED BEFORE ME THIS �DAY OF I"1 .20 1
BY L444 .1 N4-vW f k WHO IS PERSONALLY KNOWN TO ME OR WHO HAS
PRODUCED M AS IDENTIFICATION.
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SIG ATURE OF N TARY P LIC TYPE O1PRINT NOTARY• t �C
COMMISSIONER _
�rc�plfes eE S NOTARY PUBLIC OFFICIAL SEAL
t = State of We -' Virginia
aw. . My Commission Ezpiies 1:1y 19, 2018
°'�•� 125 E.HIGH ST.RM C KINMV000,WV26537
SLCPDSD Revised 04/11/2011 a run �..�