HomeMy WebLinkAboutFilled Land Affidavit_ PLANNING & DEVELOPMENT SERVICES DEPARTMENT
�Y Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
e�` � FILLED LAND AFFIDAVIT
N.�VC, 1 r
Ge
I, the undersigned, am the owner of the following described property, --7rq(?q oeiieG-ir icf�yo
3 D � to 0-7 • 0 a-7 a , 000 -1 La Vita ��.�t . � t � 1 � '7 61 k-'
(Parcel Id#/Legal description/Address) �0+ 21
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(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.
nno/ -e4 1�O 1 l e
Property Owner me (PleaseMint)
Pro " er Signature D e
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFORE �ME THIS 0 C / DAY OF 20�
BY I ' 1 Or -L� 1,_/C7 141 C— WHO IS PERSONALLY KNOWN TOWE (0) OR WHO HAS
PRODUCED AS IDENTIFICATION.
S105RATUREOF NOTARY PUML1C
14 JA QaCj D 1 C2 COMMISSION NUMBER
SLCPDSD Rcvised 04/11/201 1
TYPE OR PRINT NOTARY
(SEAL)
w C D w a Fair.
v F Cpnnirion 24 020010
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