HomeMy WebLinkAboutFilled Land AffidavitPLANNING & rbF EWPME:NT SERVICES DEPA.RUNWNT
E; 'iing & Code Regulations Division
2300 v1ROLNI+3r aviEa'4UE
FORT PIERCE, FL 3498.2-5652
{7M 462-1553
FILLED LAND AFFIDAVIT
I, the undersigned, am the o,%mer of'the following, described property,
ZV z7- (oJ- d066-4D0/6 - 92,Uo Sd yl -f L -7V- it , rle-12 -; FL --?y4gz
(Farrel TdAf ,ebal desrripdou/Addrew)
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 $hats be responsible for assuring
adequate drainage so that the mtrnediate com' munity WILL NOT be advenely 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,
ad: qi=e drainage off my property wtuch will not adversely affect the immediate
community.
111)1 > sd Afg ®k"X,, L e-•C
Pro porlyfhvzer x e {P1 t}
Property Owner Sign store late
STATE OF PbSitiaA, COUNTY OF
/%fit
AcBLNowi.imem BEFORE mE THIS 6�-5 DAY OF ,,�f�,�`� .20
BY %®f ew( .-ZS007� WHO IS PERSONALLY KNOWN To ME El OR WHO HAS
PRODUCED ,�n'!/�Lr' t��G'iZrE AS IDENTIFICATION.
o—
GNATURE OF NOTARY PUBLIC TYPE ORPIUNT NOTARY
COMMISSION NUMBER
(SEAL)
RANDI RTR1S
Notary Public - State of Michigan
SI GFDSD Revised 0411 I20I i
Couniy of Macomb
My Commission Expires A r 25, 202i
Acting in the County of
".Ait(.1F.f.t.�.�
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