HomeMy WebLinkAboutFILLED LAND AFFIDAVITate.
L�91499 . N, ;
COUNTY
F L O R I D R
PLANNING & DEVELOPMENT SERVICES DEPARTMENT _ SCANN
Building & Code Regulations Division
2300 VIRGINIA AVENUE BY .
St
FORT PIERCE, FL 34982-5652 LWe Count
(772) 462-1553
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FILLED LAND AFFIDAVIT Nov 3 '01818
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St. I. Dourowri
eni
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I, the undersigned, am the owner. of the following described property;
3� ) =5o I - 600 q' = D -�� �S3a l� l�roo �r+V 3�fg8"� .
(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
adequatedrainage. 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.
PropertLOwne: a (Please Print)
Property Owner Signature Date
STATE OF FLORIDA, COUNTY OF (
ACKN EDGED BEFORE ME THIS DAY OF 20
BY I WHO IS PERSONALLY KNOWN TO ME U OR WHO HAS
PR UCED Y L/� I L,l'/1 I,iC/ AS IDENTIFICATION.
o hQ m
I SI E OE NO MY PUBLIC TYPE QF6TRINT NOTARY
�J COMMISSION NUMBER
irRY'u'•.; -ANGELA B(,8$@d ARMINGHAM
hUtdl'v iLD.IC,UFICd .
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I 3or,:r•� t'aol.;h �-•tior;:..N,)tary AsSr•,
SLCPDSD Revised 0.4/11/20.11