HomeMy WebLinkAboutFILLED LAND AFFIDAVIT 2 71
SCANNED
BY
fit,LLUOIG county
1WELOPiNfEW si!, N'TCI?S DEPARTNIENIT
Nj 'IN 14 PLA., N 'G& I A
e1R11,qtiOII':,DiViSioll
de R Building Co
2300 NTIRZONIA AVI UL
FORT PIERCE.FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
1, the undersigned,'1111 the owlier or the following describe([ property,
J
for wjl;cjl 1. have applied to St. Lucie County fbi- a 1': 11 Development Permit. In
accepting this Final DevelopMent Permit: BP Number I acknowledge
that ,is owner of the above: described property, <md in accordance with Sectioll
7,04.0 1(D), St, 1-mcie County I...and Development Code, I shall be responsible for assurillL
'ILI, NOT be adversely affected.
adequate drainage so that the immediate community NA
further acknowledge that In granting this permit fo.r the developilleill of this 'property
St. LLICie C OU-11tv is neither obliged nor liable to provide for, or maintain III any fornl,
adequate CIFOill',Ige Off MY larol1erty which will not adversely affect the i'll"ledi,11c
-0111111LItlit)',
01)
roperty 0 NaMe(PIC118C 111TO
'-Property Omer Signature D,
STATE OF FLORIDA,(70UNT)'OF
ACICN If" iF BEFORE 1,if'THIS DAVOP 20J-5.
'-f5 v11-;O HAS
BY M11,10 IS PL-*.[,SO.,NALLN .K-N'OW-\'I'CJ ME cl
PRODI. .21 o t- Ot,wer'5 Lrcw-,,P— AS IDENUIVICA'11ON
...... .................... ............... ......... ................ ........................
......... .......
Al�I
SIG'N: - OF lic TYPE
v
WLER WLUAM J.LA
f bft 0
-FL -Shft of Floft
13 2016
*49M.FOrds Augg 13,9016
OWNAUM#1E U450
SL('PI)SD R v;!3ed ON"'I 1,1201