HomeMy WebLinkAboutPOWERS FILLED LAND AFFIDAVITMANNING & DEVELOPMENT SERVICES llEPARTMENT
Building & Code Regulations Division
230o %'1R(iIN1A AVf-M f'
FORI PWRCT..1:1. 34982-5652
(772) 462-1 Si;
FILLED LAND AFFIDAVIT
I. the undersigned. am the o%%ner ol'the following described propert\ .
3 •YOR •aa'73We •6-4Sz'af eves ///I/tlweal - 9// �Tf�C4 `r/y
(Parcel Id#/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 I acknowled4,e
that as owner of the above described property, and in accordance with Section
7.04.01(D), St. Lucie County I..and Development Code, I shall be responsible for assuring
adequate drainage so that the immediate community WILL NOT be adversely affected.
I lurther ackno-wledge that in orantin_ 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 draina{Ie off my property which will not adversely affect the immediate
community.
Proper1% 0%% nel Name(Picase Print)
Propert� tire
yr:\rl:t>rr1.t)RIu:\.c'r)t tir\ 131 �jfl/, T//I
Date
AC'KN AX11:1)(4:1) BEE 1R1 \11: 1-I IIS . ZY DAY ( 1P _ _ .20
dV
R1' �� ��/7G/ �oa/�✓s WHO IS ITRSONIM.LY KNt f11'N F0 ME o 1"HC)11: .
)I t'I 1) �� `�/!�err L/ �' a��- � �• !/� AS IDEN1-II:IC'Arli)N
Ill I)[. %( sr:VtY P1l131.IC' rl'!'Ii Ult I'RIN-I' Sirar:\Kl'
e5Q�;1f)\1\11SSI1)\ NIAIIiER
c ti1{:1l �
REE
C State 4f Florida
leysion GG 28a148
tiLC'I'I)SI)Re%i;ed0411 21111 8/2022