HomeMy WebLinkAboutFILLED LAND AFFIDAVITSCANNED
BY
PLANNING & DP VELOPMENT'SERVICES.DEPARTMENT
Building & Code Regulations Division
2300 VI RGINIA AVENUE
E IV E D FORT PHA tCE, PL.34982.5652
(772) 462=1553
JUL 26 2018
LAND .AFFIDAVIT
ST. Lucie County, Permitting
I, the undersigned, am the owner of the following described property,
31 l 000 ) 000 g
(Parcel IML-egal desdlption/Addrtssy
forwhich I have applied to St. Lucie County for a Final. Developlrient 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 CoWity Land Development Code, I shall be responsible for assuring.
adequate drainage so -that the immediate community WII,L MI be adversely affected.
I further acknowledge that in granting this permit for the development pf 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.
'XY�\n��•l S'h�.hze,n
Property Name (Please Print)
roperty er Signa(ure• Date
STATE OF FLORIDA, COUNTY OF�y�,�%G�`
ACKNOWLEDOED BEFORE ME THIS DAY OF .S_L&V. ke .20 I D'
WHO13PERSONALLY KNOWN TOM OrORWHO HAS
PRODUCED '�j f-: J1Qr 5 1 `: L' Q dIS P AS IDENTIFICATION.
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