HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
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2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 46271553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
.JJ/U 1/,
(Parcel Id#/Legal desctiption/Address)
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number
acknowledge
that as owner of the above described property, anti in accordance I 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.
W. Bryan Adams
72Z;Qv;mer Name Please Print)
Property Owner Signature - �Z�ZZ1Z 1
Date
STATE OF FLORIDA, COUNTY OF St Lucie
ACKNOWLEDGED BEFORE ME THIS 2 - DAY OF ��/yL�Cj�� 20_Zd_
BY W. Bryan Adams
_WHO IS PERSONALLY KNOWN TO ME LEI
j OR WHO HAS
PRODUCED
AS IDENTIFICATION.
I ► W n�Q Hannah Moore
SIGNATURE OF NOTARY PUBLIC TYPE OR PRINT NOTARY
017099 COMMISSION NUMBER
(SEAL)
Notary Public State o1 Flonda
Hannah E Moore
SLCPDSD Revised 04/1 I/201 t �" �P MY Co--'-- xi HH 017099
�W ra Expires 071012024