Loading...
HomeMy WebLinkAboutFilled Land Applicationr v PLANNING & DEVELOPMENT SERVICES DEPARTMENT BUILDING & CODE REGULATIONS DIVISION 2300 VIRGINIA AVENUE FORT PIERCE, FL 34982-5652 (772)462-1553 FILLED LANDS AFFIDAVIT I, the undersigned, am the owner of the following described property, /yoZS - 70/ - dooz I - O©O -g (Parcel Id#/Legal description/Address) JUN 19 201 PERP41ITTiNr St. Lucia 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. .a«.h /10 6e Property Owner Name (Please Print) -1-1 Property Owner Signature U Date STATE OF FLORIDA, COUNTY OF 11, go s-e ACKNOWLEDGED BEFORE ME THIISy�� DAY OF r% 20 Z 2 . BY Ael ; $ A2 / / O IS PERSONALLY KNOWN TO ME �OR WHO HAS PRODUCED SIGNA URE OF NOTARY PUBLIC COMMISSION NUMBER SLCPDSD Revised 08/24/2010 AS IDENTIFICATION. TYPE OR PRINT NOTARY pqr w~44+ A HEISETM ap'�•• MYC#GG02 07 EXPIRES: Sepmmbor21,2020 ��aFF��Q BpedtdilMUBUdg�tNotafYSt�ea