HomeMy WebLinkAboutFilled Land Affidavitt'i �ti�t1l:.t i)�:�'k�Lt)Plil�:1VT �t:lt\'1C 1~:51)i�:l';ilil'l�il":�VT
Builditlg & ttiodc Regulations Divlsh-,a
00 IN L-k AV UNIT
F CRY FlVR('F, Fl
FILLED LAND AFFIDANTY
1, the undctsi,�ned, atu the owner (if the iiAlowing desc.ribevi plrperty,
�
(Far. el ld� Leral drscriptioalAddrewy)
for which 1 have. applied to St. Lucie County for a Final DeN,elopme nt Pctinit. Ill
accepting this Final Development lopment Permit, RP Number __ , 1 ackno�� lc%jgo
that as owner of the aN)N described property, rand in accottilance with section
7.04.01(D), St. Lucie County Land Development Code, t shall be ri spkinsible for assuring
adequate drainage so that the immediate community W 11,1, NOT be ath e lady arloete d.
1 h>rther scl:nowlcdg that in granting, this permit ror the development of this propotty,
St. Lucie County is neither obliged nor liable to provide for. or maintain in and, rorm.
adequate drainage off my property which will not adversely ZIMct the 1m111e111,1tc`
community.
ell
Property Owner Nam_ a (Please Fruit)
�'---Property Owncr Signature pa(�
STATE OF FLORIDA, COUNTY OF
ACKNOWLNErD,GIiDBI3 ll'ORtiT1F'1'111S---1 J _DAY O
BY l�,(i, W`Y � mqI � 0JQ _WIIO IS MRSONAl.1,Y RNO%ArN TO Mh (l) pall Wilt) ILAS
PROD ' ED _ FL - kD, _. _ - _ _ AS IDVNrIVICA I'ION.
bq
SIGNATIIRE OF NOTARY PU tl 1 ' I 1 11 OR PHIN I N, I VARY
3 (P1COMM1. N NUMIIIFIt
+41�f ei Ssldy
SLCPDSDRevised (All V201I �► �. N01ANY PunLIC
gy p: I STA rr OF FLORIDA
C'"t'n 'G97,IR: U
,� C:xtilreA 3l?fit,'U.'A