HomeMy WebLinkAboutgoodner filled land affidavit PLANNING& DEVELOPMENT SERVICES DEPARTMENT
Building&Code Regulations Division
2300 VIRG l+7iA AVENUE
WMGMWMW FORT KERCE,.FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
1,the undersigned,am the owner of the following described property,
3�0LL -710 - OZ?3b 0-0-D -- o
(Parcel Id#/Lc l descriptioWAddress)
for which I have applied to St, Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number , I acknowledge
that as owner of the above described property, and in accordance with Section
7.04.01(p),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.
PropGriy fawner Name(Please Print)
1
1 f ^t
Property Owner Signatme Date
STATE OF FLORIDA,COUNTY OF._�
ACKNOWLEDGED BEFORE ME TIRS_..__.._�� DAY OF .��`!'`��— =20_�;
BY T ��_ t' .._ ^_VVI3C?IS PER5Ot+I.fict,LY IfOWN TO ME(a)ORWHOHAS
PRODUCED
E � _ _AS IDENTIFICATION,
SI�i-_�'.��TLa`g.E OF Ist?TAR'4` IC TYT'E t>R PRINT N(7TAItY
COIv MISSION 2LiE$
(SEAL)
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