HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
SCANNED FILLED
BY
St Lucie County
I, the undersigned, am the owner of the fo
I G j- Aso 1-0\,- o oo'
(Parcel Id#/Legal description/Address)
for which I have applied to St. Lucie Coi
accepting this Final Development Permit, B
that as owner of the above described p.
7.04.01(D), St. Lucie County Land Developn
adequate drainage so that the immediate con
I further acknowledge that in granting this r
St. Lucie County is neither obliged nor liab
adequate drainage off my property which
community.
Owner Name
1
Owner
STATE OF FLORIDA, COUNTY OF
Luce
ACKNOWLEDGED BEFORE ME THIS clQ DAY OF
BY� t�a� ��0. lwov{ h0 W 6 IC 1 WHO IS PER,'
PRODUCED L
AFFIDAVIT
described property,
ty for a Final Development Permit. In
Number , I acknowledge
perty, and in accordance with Section
it Code, I shall be responsible for assuring
lunity WILL NOT be adversely affected.
mit for the development of this property,
to provide for, or maintain in any form,
vill not adversely affect the immediate
, - &o-ly
Date
�q t 20�,
Y KNOWN TO ME (a OR WHO HAS
AS IDENTIFICATION.
Q itCk d�ve��
SIGNATURE OF NOTARIOPUBLIC
TYPE OR PRINT NOTARY
Q S�iCe COMMISSION NUMBER
- _ "' —"—
vvv"� DEANNAMARIEGIVENS 1�+
I
:X °"0`� • � 022023
MY COMMISSI(g'
;i'¢ EXPIRES: December 16, 2020
'e o' Bonded Thni Notary Public Underwrite
SLCPDSD Revised 04/11/2011