HomeMy WebLinkAboutFilled Land Affidaviti
PLANNING & DEVELOPMENT SERVICES'DEPARTMENT
• Building & Code Regulations Division
2300 VIRGTNIA AVENUE
FORT PIERCE, FL 34982-5652 REC�rVFO
(772) 462-1553
BAR ®�
FILLED LAND AFFIDAVIT PQrmrttrj9D
3( Lucie CO, ty ent
1, the undersigned, am the owner of the following described property,
11 - 74s 1 -66
(Parcel [19/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
that as owner of the above described property, and in accordance 1. wi }h Sectdion
7.04.01(D), St. Lucie County Land Development Code, I shall be responsible for assuring
adequate drainage so that .the immediate community WILL 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.
Q'� Blr 64 A-da, .rV%..�777
Property 016vner Name (Please Print)
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Property igaature -- _
Date
STATE OF FLORIDA. COUNTY OF 5 '0—
ACKNOWLEDGED IIEFORE ME THIS Z ` —DAY OF �� iCk0.t4
BY w r' 20 ZI—
WHO IS PERSONALLY KNOWN ME
PRODUCED V Q OR WHO hIAS
/AS IIDENTMICATION
S NATURE OF N rAR UBUC
GGogygat COMMISSION NUMBER
SLCPDSD Revised 04/11/2011
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TYPE OR PRINT NOTARY,
(SEAL)
,; •ti�ii�•o�p.,
fin l•: '
RICHARD DOUGLAS JOHNSON
Nolary public, Slele of Florida
COmmss1oc q GG 084821
:• r .'
My Comm Exp1res Mat 20, 2021
•,
Bunleo lluMh Nal,onal Nolary Aisn.