HomeMy WebLinkAboutFILLED LAND AFFIDAVITSCANNED
By
qt8 9oruprnOhl
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building,'& Code Regulations Division
2300 VIRGINIA AVENUE
FART PIERCE, FL 34982-5652
(772) 462-1553
I, the undersigned, am the owner
3q1 5 a --DIGI
(Parcel Id#/Legal description/A
LAND AFFIDAVIT
following described property,
6b6-
for which I have applied to St.1 Lucie County for a Final Development Permit. In
accepting this Final Developmen 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 obliOd nor liable to provide for, or maintain in any form,
adequate drainage off my property which will not adversely affect the immediate
community.
r /+J
Property Owner Signature
STATE OF FLORIDA, COUNTY
ACKNOWLEDGED BEFORE ME
ETHIIS
BY J2" T ' IIVV v�' J
OF NOTARY
NUMBER
SLCPDSD Revised 04/11/2011
Date
YOF / n94-(/sJ ,20 / 9• ,
IS PERSONALLY. KNOWN TO ME U OR WHO HAS
PRINT
(SEAL)
AS IDENTIFICATION.
+0.�Y PVY'
-
AU B. HUmplAF0
MEXPIRESSMa h 6, 20192
P pbVI Unders ile
Banded Thrucs
Notary