HomeMy WebLinkAboutFILLED LAND AFFIDAVIT1
PLANNING &
Buitdmg & (
2300
FORT
SCANNED FILLED
BY
St Lucie County
I, the undersigned, am the owner of the
5 5- /,::,0Q -- D0Q. - bDD—
(Parcel I& Legal description/Address)
for which I have applied to St. Luc
accepting this Final Development Per
that as owner of the above descril
7.04.01(D), St. Lucie County Land Del
adequate drainage so that the immedia
I further acknowledge that in granting
St. Lucie County is neither obliged n(
adequate drainage off my property
community.
Property Owner Name (Please Print)
Property Owner Signature
STATE OF FLORIDA, COUNTY OF
ACKN r EDG BEFOG 1RIEf MBE ,THIS 1
BY w--�
PRODUCED
COMMISSION NUMBER
SLCPDSD Revised 04/11/2011
SERVICES DEPARTMENT
regulations Division
INIA AVENUE RECEIVEp
E, FL 34982-5652
462-1553
MAY 01 2018
AFFIDAVIT L SL• Lucle County, permitting
ng described property,
County for a Final Development Permit. In
t, BP Number , I acknowledge
i property, and in accordance with Section
opment Code, I shall be responsible for assuring
community WILL NOT be adversely affected.
ds permit for the development of this property,
liable to provide for, or maintain in any form,
Lich will not adversely affect the immediate
Date
)AY OF
r '
IS PERSONALLY KNOWN TO ME 0 OR WHO HAS
AS IDENTTFTCATI N.
J"idre A. I
jg&%, NOT' AFt-PuBLIC
TYPE OR PRINT NOT
(SEAL)
c-r,G032�.s9
Expires 319/2020