HomeMy WebLinkAboutFILLED LAND AFFIDAVIT- PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553 RECEIVED
SCANNED FILLED LAND AFFIDAVIT U L 2 3 01 �3
BY
St, Lucie County ST. Lucie County, Permitting
I, the undersigned, am the owner of the following described property,
2236-700-0010-000-3KE IS.4a rS 0-08 4i-414oT to(7-5644C) (oR 3599-ZS4
(Parcel Id#/Legal descripdon/Address) I & !D / C,4 QLTDA1 .¢D/tM,S j2oAD
FQQ7- P1 C- QCE t Fl- 349 #9-
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 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 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.
Linda and Jeffrey Keegan
Property Owner Name (Please Print)
Don Oh 7 /-5/,4,9
Prop rty Owner Signa Date
STATE OF FLORIDA, COUNTY
12
BEFORE ME THIS DAY Of ° L 20
flL .-G4L• IS PERSON 'KNOWN ME OR WHO HAS
COMMISSION NUMBER
Revised 04/11/2011
AS IDENTIFICATION.
1