HomeMy WebLinkAboutFILLED LAND AFFIDAVITj
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
i 2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
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I, the undersigned, am the
L�SO-L - 1jc) 1- 00
(Parcel Id#/Legal description/.
LAND AFFIDAVIT
of the following described
APR 2 3 2018
ST. Lucie County, Permitting
for which I have applied to ISt. 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 �dediate
Development Code, I shall be responsible for assuring
adequate drainage so that the ' 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.
(Please Print)
Signature
STATE OF FLORIDA, COUNTY OF S1 -
ACKNOWLEDGED BEFORE ME THIS
BY j eC YA - Zoc,c� S Pa r
DO
SLCPDSD Revised 04/11/2011
I -�D
Date
6,6 C coutily.,
DAY OF 6V Ft L 20 ,
_WHO IS PERSONALLY KNOWN TO M)) OR WHO HAS
AS IDENTIFICATION.
Gre5Q k�� -erg L
PUBLIC j TYPE OR PRINT NOTARY
[SSION NUMBER
(SEAL)
TERESA L K(AMERIK
MY COMMISSION# FF227168
?� EXPIRES May 05, 2019
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