HomeMy WebLinkAboutFILLED LAND AFFIDAVITSCANNED I
BY
St Lucie County
PLANNING & DEVELOPMENT SERVICES DEPARTM NT
Building & Code Regulations Division RECEIVED
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553 FEB 2 62018
`.aT, wgle C owf1ty, form
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
3402-605-0089-000-7 / Indian River Estates -Unit 04-131k 36-Lot 24
(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.
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Property Owner Name (Please Print) c
Property Owner Si ture Date
STATE OF FLORIDA, COUNTY OF �y �C t
ACKNOWLEDGED BEFORE ME THIS_ DAY OF r r 20 I Zi' ,
BY\ , l-,C_`n� Qayc l j � U- 'ZO IS PERSONALLY KNOWN TOME (� OR WHO HAS
PRODUCED —VA- Vl i l]Ft-��S�bIS� g AS IDENTIFICATION.
SIGNATURE OF NOTARY PUBLIC TYPE OR PRINT NOTARY
C-�_ Ia')ssS COMMISSION NUMBER
(SEAL)
PWWC sift of A M sw4em rftfs
w, s n GG 127559
SLCPDSD Revised 04111/2011