HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
COUNTY Building & Code Regulations Division
• R I D A 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,
33a I -Sol-oatcL*,-L-{ Reserve Pku.i+;cm Prase l l.d+.lda (or'37qi -18'77�
(Parcel Id#/Legal description/Address) `1 9'o 3 Lc Xe s Dr.
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.
Prop Na a (Please Print)
Prop er Signa Date
STATE OF FLORIDA, COUNTY OF '5r zw'Atug
ACKNOWLEDGED
%BEFORE ME THIS � DAY OF ���-C�I � f � 20 / 7 .
BY b Vr* (A C A rO/%/ WHO IS PERSONALLY KNOWN TOME0 R WHO HAS
PRODUCED
F 3.3 23 NUMBER
SLCPDSD Revised 04/11/2011
AS IDENTIFICATION.
9)fiy,e.6 IAJXIW
TYPE OR PRINT NOTARY
David P. Ward
COMM99(ko 23m
• �r EXPIRES: May 21, 2010
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