HomeMy WebLinkAbout1306-0321 FILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING &CODE REGULATIONS DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
FILLE
I, the undersigned, am the
di(p-6L1 L/-,G1Ini
(Parcel Id#/Legal description/.
LANDS AFFIDAVIT
'of the following described property,
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 j 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 gIranting 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.
MoNi--� Wumbrurv)
Proerty weer Name (Please Print)
r arty Owner Vignature Date
STATE OF FLORIDA, COUNTY OFf�
i 'I nD i
ACKNOWLEDGED BEFOR� ME THIS 1 1' DAY OF Alt., 20 1
BY
NOTARY
COMMISSION NUMBER
i
PERSONALLY KNOWN TO ME OR WHO HAS
1NOTARY PUBLIC
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xpires 8I10I2015
(SEAL)
IDENTIFICATION.
SLCPDSD Revised 08/24/2010