HomeMy WebLinkAboutFilled Land AffidavitRECEIVrD JUN 0 2017 l ,.
ANNING &DEVELOPMENT SERVICES DEPARTMENT
�'. �• PL
Building A Code Regulations. Division
2300 VIRGINIA AVEWE:
:. F :.
.. , ORT PIERCE, FL 34982=5632
(772)'W-1553
FILLED LAND ,
:. DAVIT
I, the undersigned, am the;owner of the following.desecibed ro e
31W: ellowstone CIR p .P '
(Parcel Id#/Legal description%Address).
" for which I have applied to St. Lucie .County for a Final Develo men
accepting this Pinal: Development Permit, :BP Number... p t Permit. ,
that as owner bf the above. described property; and in accordance ;with Section
I acknowledge
7.04.0.1(D), St., Lucie County. Land Development Code, I shall be.res onsi
adequate drainage so that the immediate community WII,"pT. adversely n
p ble for assuring
1: further acknowledge that in granting this permit for. the development of thisproperty
sely affected:
St. Lucie .County is neither obliged_ nor liable to provide for, or maintain 'in an or
adequate drainage off my pro e
community, y p �y which will not adversely affect the immediate
Brian W DaVidsop
Property caner Name (Please Print)
Property Dyer Si ! 6/2/2017
gnature
Date
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGEDBEFORE:METHIS 2
- JUNE
.. — DAY of 17 . . .
BY
,20
WHO IS PERSONALLY KNOWN TO ME c xi OR WH N
PRODUCED - -
:AS IDENTIFICATION
E OF NOT�.-
SIGNA PUBLIC
Sah"-a:4-mie
TYPE OR PRINT NOTARY
—_COMMISSION NUMBER
! .(SEAL)
o�►*+�� NOIDry Public Stets d Florida
Sandra Leone.
SLCPDSD Revised 04111l2011 i s S ?6 My Gommlaslon GG 020251
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