HomeMy WebLinkAboutFilled Land AFFPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code R6gulations Division
2300 VIRCIDUA AMM
FORT PIER,CE,.FL 34982-5652
(772) 462-15-53
FILLED LAND A + + DAVIT
I, the undersigned, am the owner of the following described property,
LaQa k%3&&K CL
(Nrcel Id#2egal description/Address)
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)5 St. Lucie County Land Development Code, I shall be responsible for g
adequate drainage so that the immediate community MaLL NOT be adversely affected.
I fiuffier acknowledge that zn 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.
M44,Jee n
Pro Owner Na (Please Print) I
Property Owner Signature Date
STATE OF FLOPMA, COUNTY OF —514
ACKNOWLEDGED BEFORE ME THIS DAY OF � � . 20 2L
BY WHO IS PERSONALLY KNOWN TO ME &R'OR WHO HAS.
JPROD8D L
h AS IDEWMATION.
)�Y�et -Dianne "rac
�N
)roll"U OFIPTARYPUBLIC TYPE OR PRINT NOTARY
Cl3MMS3ION NUMBBR
4-tP�a tiA1�Al,tANE�IIARD
•* comnaj%� 06 243776
A.� f xplres August 20, 2022
SLCPDSD Revised 04111=11