HomeMy WebLinkAboutFilled Land Affidavit - - PLANNING & DEVELOPMENT SERVICES DEPARTMENT
- f g&Code Reg
ulations ulations Division
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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,
3424-800-0167-000-5/7904 McClintock Way
(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 1703-0466 , 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.
Tie «, oq A - .Tied
Property Owner Name(Please Print)
Properly Owner Signature Date
STATE OF FLORIDA,COUNTY OF T7Il d i c ns R I y e r
ACKNOWLEDGED BEFORE
-MTE-THIS �Z DAY OF_1)1 ri ( ,20_7—,
BY o+f—1'l L0. R• J aV \a'Ir WHO IS PERSONALLY KNOWN TO ME C OR WHO HAS
PRODUCED AS IDENTIFICATION.
�gia�ur� c�u - l�a�ra�z cet Sc sae der
SS/IGNATUI E OF NOTARY PU13LIV TYPE OR T NOTARY
(0 COMMISSION NUMBER
(SEAL)
MARGARET SCHAEFER
SLCPDSD Revised 04/11/2011 MY COMMISSION#GG88886
�rd0' EXPIRES:March 30,2021