HomeMy WebLinkAboutSelph filled land affidavit•�
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
o Building & Code Regulations Division
a 2300 VIRGM- A AVENGE
FORT" PIERCE. FL. 34992-5()52
(772) 462-1553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
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V ?f 1Q 11 a3 7 a-r, olci D 31 PL11 in &z
(Parcel IdM/Legal description/Address) C7� t Qxx�nn4, fib!,-cC c X4 i2r'et, a -
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP }dumber . 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, l shall be responsible for assuring
adequate drainage so that the immediate community WILL NOT be adversely affected,
l 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.
1u5°'N 5e1P4
Property Ch r Name: (Pelease' t)
ruperty Owner Ignature Date
STATE OF FLORIDA, COUNTY OF T- Ll xc �
ACS NOW (,EDGED BEFORE MBE TI ITS y — DAY OF.20 -t
BY �-`l ^ �Ii `' WHO IS PERSONALLYVKNOWNTO ME; ) Olt WHO HAS
PRODIJCED AS IDENTIFICATION.
&U, M'4O'1;o_13t1C _... _ TYPE OR PRINT NOTARY
Ca � 'I—,36Q'_OIv1MISSION NUMBER
JESSICAHERNMDEZ
Commission#W2W2
SLCPDSD Revised 04!1 1201 I ^;T '>' Expires Sept MW27, 2-022
022
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