HomeMy WebLinkAboutFilled Land Affidavit.[ L' AIN STING &DEVELOPMENYSERA710ES YiE1C tA.,ZiT3Y1EII%; 1_
e Buildi_ng,& Code'Regulations Division
2300 VIRGINIA AVEMIE
FORT plERCE,'FL 34982-5652
(772) 462-I553
:FILLED LAID AFFIDAVIT
1, the undersigned, am the owner of the following described property,
313
(Parcel idNYLegal descr ption/Address)
for which I have applied to St. Lucie County for. a Final .Develo rat Permit. In
accepting this Final. Development Permit, BP Nurriber /3.0'27 I acknowledge
that as owner of the above describedproperty,'an i�rdance with Section
7.Q.4.01(D), St. Lucie County Land Development. Coe, 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 tnaintain in any form,
adequate drainage off my property which will not adversely affect the immediate
community.
Property Qwner Name (please Print)
Property Owner Signature Dat
STATE OF FLORMA,, CO7JNTY OF 'S-'- �V c l c
ACY,NOWLEDGED BEFORE ME.'THIS 1 _ DAYOF '20 - I
BY S 0 rk C n Y%& e.- a l% "0 IS PERSONALLY KNOWN To ME ' OR WHO HAS
r'RODUCED
0
COivMISSION ITUMSER
SLCPDSD'Revised''(}4/1 i/20I I
NOWty, Public Sbft of Florida
Lisa Nt Keough
My Cornmiss3ori GG 94fi282;
Exp ZOI12112t124
L5A M, K -jar
TYPE OR PRIZ.— NOTARR ��