HomeMy WebLinkAboutfilled land affidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
j Building & Code Regulations Division
r yy�.d '300 VIRGINIA AVl tit E.
FOR I PILRC E. FL 34982-5652
(772)dG2-1553
KILLED LAND AhFIDAVIT
1, the undersigned. am the owner of the lollowing described property.
�.310114166V3 ala
(Parcel Idh/Legal description/A
35 ,�! to .21'7.? of e
10,3t+ of 3 ZCD i+ ck l
ress) 1(34 0. Q of E l O-AC af&6 Y-q 0 F ME V2
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 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.
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Property Owner Name (Please Print)
' I hlz�v�'
Property Owner Signature Date
STATE OF FLORIDA. COUNTY OF S__Lcd/
ACKNOWLEDGED BEFORE NIE THHII,S Q DAY OIa � f 20 2 1
BYAdal e6p jL1L�im0ato e WHO IS PERSONALLI' KNO�4'N TO h1E t�1 OR WHO HAS
PRODUCED L_a,,Wt1 1)ri J ba tzf_ AS IDENTIFICATION
SIGN, T JR -OF NOTARY PUBLIC
GOO J 1 CONIMISSION NUMBER
SLCPDSD Revised 04/1 11_'U 1 1
TYPE. OR PRINT NOTARY
ISLALI
N
Notary Public State of Ronda
HEIDI ANDERSON My Commission GG 97E454
Expires04114/2024