HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT 8 CAN N E D
BY
5t Lucie County
I, the undersigned, am the owner of the following described property,
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qqg,<- `7o3—OG a/ -noorjy0Cp8 k9 30-4a7-J&
(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 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.
OROQE,� T I4C195
Property Owner Name lease Print)
— - W, &
P e caner Signature 13
STATE OF FLORIDA, COUNTY OA r L. L \`.' f
f
ACKNOWLEDGED BEFORE ME THIS 1 DAY OF Al 20
BYVo be `C. (s+n WHO IS PERSONALLY KNOWN TO ME (A/�OR WHO HAS
rt- 1-1-COMMISSION NUMBER
SLCPDSD Revised 04/11/2011
AS IDENTIFICATION.
TYPE OR PRINT NOTARY
(SEAL)
RNotary Public State of Florida
kaylin J May
My Commission FF 914312
Expires 10/03/2019