HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT ,
Building & Code Regulations Division r'
ICOUNT
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
�ry/g_A�p\�p��Inl'rr��?Ap.h� (772)462-1553 RECEIVED
J SCANNED
_y FILLED LAND AFFIDAVIT J U L 2 3 2018
ST. Lucie County, PP_ liiltt1d
I, the undersigned, am the owner of the. following described property,
oI-- 6p II3-000-3
(Parcel ld#ALegal description/Address)
for which I have applied to St. Lucie County for a F' al Development Permit. In
accepting this Final Development Permit, BP Number Ole d GQ , I acknowledge
that as owner of the above 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 WELL 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.
1r
Property Owner Name lease Print)
roM—erty Owner Signature Date
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFORE ME THIS
BY V4L�'%wt`%O Rom. Cif—
DAY OF'S Ql y 120 kA
WHO IS PERSONALLY KNOWN TOME 0 OR WHO HAS
PRODUCEDAS IDENTIFICATION.
SIGNATURE OF MTARY PUBLIC TYPE OR.,PTNT''Rri'-
�S��eo DEANNAMAktEGfVEfJS
% COMMISSION NUMBER i° a ` MY COMtdISSIOIJ # GG 022023
F-IPIRES' December 16, 2020
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SLCPDSD Revised 04/11/2011