HomeMy WebLinkAboutFilled Land AffidavitPLANNING & ''E VELOPMENt SERVICES UEPA.RTIVIVY�qT
I sling & Code Regulations Division k
2300 VI&GINIAA AVENM _
FORT PIERCE, FL 34982-5652
(773) 462-k553
FILLED LANI D AFFIDAVIT
I, the undersigned, am the owner of the following described property,
Z�i7-f 0l- ®96Q-, 00% - zoo '.s,^7r# Sj f Lp7 t4 �,. � 9 rL 3�9�z
(Parcel 104,egai descript1oi9Addil M)
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, l shall be responsible for assuring
.adequate drainage so that the immediate community WELL 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 maintaitla in any form,
adequate drainage off my property which will not adversely affect the immediate
community.
WIAIDS'DAIG 121VAKRZ L L f
Pr Owner Ni {Pi tj
Property Owner Sipatu re hate
STATE OF »A, GOMM of
ACIf40t7V"> QED BEFORE IYIF TT3IS DAY OF �el- , 20�
BY G �G��% WHO IS PSRSONALL`i KNOWN TO ME Ca OR WHO HAS
AS IDENTIFICATION.
COMNUSSION NUMBER
(SEAL)
RANDI ATRIS
Notary Public — State of,Michigan
County of Macomb
My Commission Expires Apr 25,'2021
SLCPDSD Revised 04/11/20 i 1
Acting in the County of
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