HomeMy WebLinkAboutFILLED LAND AFFIDAVITSCANNE-� .
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
I Building & Code Regulations Division
_ 2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652'
(772) 462-1553
FILLED LAND AFFIDAVIT -
I, the undersigned, am the owner of the following described property,
SZ(0 2 OAKLAND LAKE CIRCLE, FT. PIERCE, FL 34951
(Parcel Id#/Legal description/Address)
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 withi 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 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.
Date
STATE OF FLORIDA, COUNTY OF PALM BEACH
ACKNOWLEDGED BEFORE ME THIS ' Z 3 �d DAY OF ��"✓ r ` Q~ % �, 20��
BY ROBERTSMITHWICK WHO IS PERSONALLY KNOWN TOME j OR WHO HAS
PRODUCED AS IDENTIFICATION.
1 ® _
ERIKA LEBRINI
SIGNATURE OF NOTARY PUBLIC TYPE OR PRINT NOTARY
00084371 COMNIISSIONNUMBER
SLCPDSD Revised 04/1112011
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