HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
i
,SCAN
BY
a uele couniv
I, the undersigned, am the owner of
a: Yd 5-63 i -GSS6
(Parcel Id#/Legal description/Address)
IW.1�I17:1WW1.03.11VI
following described property,
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for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number L50 to —0'4o'�9, 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 m 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.
h 0 el j S4av�
Property Owner Nam (Please Print)
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Pr erty Owner SigrAfure
STATE OF FLORIDA, COUNTY OF lJ
ACKNOWLEDGED BEFORE ME THIS t LO
BY V atij
SIGNATUURE OF NOTTff ARY PUBLIC
` 7 7 7) 60MMISSION NUMBER
SLCPDSD Revised 04/11/2011
Date
-el GuV-,
DAY OF / 1 V q Vb 20
) IS PERSONALLY VNOWN TO ME LZOR WHO HAS
AS IDENTIFICATION.
VAr-�C'(C CC,-14C4-
TYPE OR PRINT NOTARY
P*M%ANN CARTER
'• A�= Commission # FF 177927
:' Expires March 19, 2019
B.,W�d TMO Troy FWn lnWrance MINIM19