HomeMy WebLinkAboutFILLED LAND AFFIDAVITRF�FIVFD
PLANNING BDEV DEVELOPMENT SERVICES NOV 2 71018 &Code RegDsaen2300 VIRGINIA AVENUE st,4uBO
FORT PIERCE, FL 34982-5652 epaFment
(772) 462-1553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
I, G 3
description/Address)
5a
F- L 3q qg
SCANNED
BY
St Lucie.County
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.
_1_:2MA X ua. N
Prop Owner Name (Please P ' 0
Property Owner Sign Date
STATE OF FLORIDA, COUNTY OF • �kC t C W V('1 J
ACKNOWLEDGED BEFORE ME THIS z I- DAYOF iN 40%f C 't FEE.[. ,20 ( S ,
BY `Vc(vN(A_(� ( r1py'\1.1 WHO IS PERSONALLY KNOWN TO ME (El OR WHO HAS
PRODUCED
IDENTIFICATION.
2QPEONOTARYS1GNNOTARY UTD ~ C�
9-7 r111OMMISSION NUMBER
(SEAL)
RM
NVAUGHNrio,-Notary Fublidon A GG 270079SLCPDSD Revised 04/11/2011 ission Expiresar 7� �n