HomeMy WebLinkAboutFilled Lands AffidavitPLANNING &DEVELOPMENT SERVICES DEPARTMENT
Building & Code RegulIt1Dns Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
3321 a=804-00 1 9-000-9 MARS H LANDING AT THE RESERVE—PHASE ONE— LC
(Parcel Id#/Legal description/Address)
for which
accepting
I have a
pplied to St. Lucie County for a Final
A .. .-.... __
inat as owner
Nk���la�car• .s�si�rr�M'�iiifi:��oor.�.
Development Permit.
J.
of the above described property, and in accordance
7.04.0 1(D), St. Lucie County Land Development Code
adequate drainage so that the immediate communit
I further acknowledge that in granting this permit
St. Lucie County is neither obliged nor liable tlll provide for
adequate
commun
Property
In
acknowledge
with Section
I shall be responsible for assuring
y WILL NOT be adversely affiected.
for the development of this property,
or maintain in any form,
drainage off my property which will not adversely, affect the immediate
itys
weer
e (Please P
Property Owner Signature
STATE OF FLORIDA, COUNTY OF
i
rint)
ACKNOWLEDGED BEFORE ME THIS � K DAY OF DQ-C�i�✓1 r✓ e oc 120 c) v
BY � h �r r� r� (Le<P-AciAl(��WHO IS PERSONALLY KNOWN TO ME (a OR WHO HAS
PRODUCED AS IDENTIFICATION.
SIGNATURE OF NOTARY PUBLIC
13U ciii COMMISSION NUMBER
SLCPDSD Revised 04/11/2011
U(co le 0!(
TYPE OR PRINT NOTARY
(SEAL)
CWurmwealth of Pennsylvania -Notary Se>! ,
MWE-1 CK Notary Public
Phl&wta Cmity
CmwftdM E94 March 9, 2024
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