HomeMy WebLinkAboutFILLED LAND AFFIDAVITSCANNED
rR PLANNING &
FVELOPMENT SERVICES DEPARTMENT
ing & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5632
(772), 442-ISS3
I
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
4�Z5-7o3-06�2-oOb;l �IV�Q�Enr�(P8�7-3(�'�37�aQt/o73.230
(Parcel IdWLegal description/Addiess) 13 312 N W &11 W 000 PLA&E k LM GATI PL 3q44 d
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
7.04.61(D), St. Lucie County and Development Code, I shall be responsible for assuring
adequate drainage so that the pimediate 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.
PPFrk ILIA &55ELL
Owner
Prop—er y Owner gign.ature Date
STATE OF FLORIDA, COUNTY OF ' 1 qLTI �
ACKNOWLEDGED BEFORE ME THIS 2 DAY OF 16 , 20 I
BYVA-Cl,((-(A XQ'&5ELL.
PRODUCED
I
S ATURE OF RoTARY PUBLIC I
COMMISSION NUMBER
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,I
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SLCPDSD Revised 04/11/2011
WHO IS PERSONALLY KNOWN TO ME C OR WHO HAS
AS IDENTIFICATION.
J uL4E M ��1_15r
TYPE OR PRINT NOTARY
(SEAL)
JULIE-M 8CALME
a; MY COMMISSION # GiGO91020
a � EXPIRES Aprd 06, 2021