HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
.31-/49a - (&o-7. oa3coo - o
(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 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.
Ld1rt lei rr.
Property Owner Name (Please Print)
,ZVI &� , 1( a o2l
Property Owner Signature We
STATE OF FLORIDA, COUNTY OF .6r L .R c; k
ACKNOWLEDGED BEFORE ME THIS (o DAY OF h9o-yg 20
BY L OA—Z CJ : m I WHO IS PERSONALLY KNOWN TO ME OR WHO HAS
PRODUCED `"r7 S AS IDENTIFICATION.
GN URE OF NOTARY PUBLIC TYPE OR PRINT NOTARY
i � 6, -q S 0 F %Z COMMISSION NUMBER
SLCPDSD Revised 04/11/2011
(SEAL)
RRAKKUNTERAN
Wmey Public - State of NWW&
Cosnmiaton�GG99Qe1,2
My Comm. Enphe� : 73, 2024
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