HomeMy WebLinkAboutFilled Land Affidavitt
PLANNING & DEVELOPMENT SERVICES DEPARTMENT :Ec�iv�D
Building & Code Regulatioris Division'0A4
2300 VIRGINIA AVENUE ment.
FORT PIERCE,2) 462 155382-5652 Per Stti4uoe
9 DeQa;�t„
i
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
i
3402IL-610-os-i4-000-9 S811 3�alsAw-�'R --OR Berce Fi 34aea
(Parcel Id#/Legal description/Address)
for which I have applied to St. Lucie County for j a Final Development Permit. In
accepting this Final Development Permit, BP Number ►9os_oaga. , 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.
By ,AN UAw•s
Property Owner Name (Please Print)
Property ignature
a-aoao
Date
c � I
STATE OF FLORIDA, COUNTY OF J A i hF 1 1_y e, C
ACKNOWLEDGED BEFORE ME THIS ~� DAY OF J A N V A r 20 a 0
D
BY 0 C � All A WHO IS PERSONALLY KNOWN TO ME L�OR WHO HAS
PRODUCED 1 AS IDENTIFICATION.
D
OAAL4 �c�y4�A3 J t��n►.S��t
SI ATURE OF N ARY LIC TYPE OR PRINT N;OMY
Cr&' 0846 1 COMMISSION NUMBER
i (SEAL)
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RICHARDDOUGLASJ
SLCPDSD Revised 04/11/2011 ;���isivPi4
. o i Notary Public - StaleofNFloror&id
• ; - = Commiission # GG 084821
My Comm. Expires Mar 20, 2021
ow&d though Natiord Notary Assn.