HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGRVIA AVENUE
FOR'r PIERCE, FL 34982-5652
(772) 462-1553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
tar MR- DoLlI -OOD- a g3a-1 �
(Parcel [dtl description/Address) G 1 �) i r
for which I have applied to St. Lucie County for a Final Development Permi
accepting this Final Development Permit, BP Number t. In
f 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 co
mrnunit I further acknowledge that in granting this permit or the deveLL NOT be lopment this rversely operty,
St. Lucie Coutlty is neither obliged nor liable to provide for, or maintairt in an forty,
adequate drainage Off my property which will not adversely affect the
community. y mot'
immediate
do tnM s
Property Owner Name (Please Print) —
Property
'immature —�
Date
STATE OF FLORIDA. COUNTY OF -S1- LAA.L� 'I—"
ACKNOWLEDGED EIEFORE ME THIS I 1
BY (� kill; � s —_ DAY OF Mkr-L. \ zo
—' HO IS PERSONALLY KNOWN
— J
PRODUCED WN TO ME L�POR WHO HAS
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AS IDENTIFICATION
S NATURE OF N FAR UBLIC �_
TYPE OR PRINT NOTARY t vyt ~J OH
4 1 COMMISSION NUMBER
(SEAL)
RICHARD DOUGLAS JOHNSON
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