HomeMy WebLinkAboutFilled Lands AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553 pe f t hL
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property, /
j 33-ilQo-(- 30-0'-3 3 3 3 a a
(Parcel Id#/Legal description/Address) 1.�r1-- ���- 3 cef gj/
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 ownerof 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 fiuther 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.
T6yVtC,S �`f urg,111
Prope7er N a lease Prim ..
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Property Owner gnatrue, Date �F--
STATE OF FLORIDA, COUNTY
ACKNOWLEDGED BEFORE ME THIS
DAY OF _ ��t•I�CJI ` , 20 O 1. ,
BY I ko 1
n,Qs u� 1 UV 4j j I
O I8 PERSONALLY KNOWN TO ) OR WHO HAS
PRODUCED
s AS IDENTIFICATION.
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SIGNATURE OF NOTARY PUBLIC
TYPE OR PRINT NOTARY
'° ca 72-1%v' COMMISSION NUMBER
,IICM PAT9y1NNCARTER
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SLCPDSD Revised 04/112011
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