HomeMy WebLinkAboutFILLED LAND AFFIDAVIT`7
SCV 5D
By
81,kpp
PLANNING SERVICES DEPARTMENT
BEil g & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, Fl, 34992-5652
(7n) 462-1553
FILLED LAND AFFIDAVIT L�
I
I, the undersigned, am the owner of the following described property,
3322-505-0103-000-0 / 7124 Maidstone Dr
(Pared IdgMelpl description/Address)
for which I have applied to St. Lucie I'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
7.04.0l(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 farm,
adequate drainage off my property w ich will not adversely affect the immediate
community. l
Slavko Mladjenovic
Property Owner Name (Please Print)
Vim, 10 QDIr ?
Pcolmty Owner signature Date
STATEOFFIARIDA,COUNTYOF
ACKNOWLEDGED BEFORE METHIS _ DAY OF
BY J�r�V� �11ad��nby r�- WHO'S PERSONALLY KNOWN TOME (El ORWHO HAS
PRODUCED _ 1= 4— _� C J�4a-�l, L—) (' fU -U%--- As IDENTDIC-ATWK
093 1 6 (-)y COMMSSION NUMBER
SLCPDSD Revixd 0M11r2011
Q-V\�e.
(SEAL)
RACHEL A HOUGH
Notary Public - State of Florida
* Commission # FF 231005
My Comm. Expires Aug 4, 2019