HomeMy WebLinkAboutFILLED LAND AFFIDAVIT BILL HANKINSPLANNING D V OPM N SERVICES DEPARTMENT
Build0
ing & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982=5652
(772) 46Zw 1553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner o f the following described property,
3403M502MO253mwO00-5/ WHITE CITY S/D 09 36 40 E 97u23 FT OF W 316v69 FT I
(Parcel Id#/Legal description/Address)
0
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 ()f the above described property, and in accordance with Section
7mO4 OI(D)IS5 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 t
his. 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 M,V Droertpy which will not adversely affect the immediate
community.
Property Owner Name (Please ][:)Jt&'Vnt)
,4 W�
l Frty Own)
e eSignature pil,
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFORE ME THIS � DAYOF
BY Ian k�
■
PRODUCED
a
OF NOTARY PUBLIC
fro:all ;I
SLCPDSD Revised 04/11/2011
Date
20 g1c),
WHO IS PERSONALLY KNOWN TO ME (11 OR WHO HAS
TYPE OR PRINT NOTARY
(aE
Notary p of F&F6n"3*
Christine A. Match
My Comm HN 026785
Expms 0&021024
AS IDENTIFICATION.