HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING: & DEVELOPMENT SERVICES DEPARTMENT
Building.& CpdeReoladons Division
23.QO VTR2QTN [A AV91qL1E
FORT. PIERCE; FL. 34982*-5652
(772.)A62-1553
FILLE.0 L'ANb AFFIbAVIT SCANNED
BY
St Lucie County
L. the.undersig4ed,, am the-ownet ofthe fbllotvihg described property;
for which 1 have applied to St. ' Lucie :County 'for a Final -Development Permit, In
Accepting this,Final Development Perrftit,. BP* Number I acknowledge
that. as owner of the aboye described property; and in accordance with Sect
ion
7,04,01(D), -St,.-Lucie County Land D6Vp,1bprn'ent Code., 1 shall be tesponsible-for assuring
Adequate drainage so that the immediate conantinity WILL. NOT be adversely affected.
I further ackfiowledge that in granting this permiL for the development. of this. property,
*St.. Lucie County is neither obliged nor liable to provide for, ormaintain m:any Vo rm
adequate drainage off. my property which Will not adversely affect the immediate
community;
PrOperty Owner. Nable (Pteas6 Print).
Property ONVnei Signature Oaie
9TAt9.QFFLPRJDA,COUNTY OF.
AqWOV/M)OED BEFORE METHES DAY OF 20
, 4�_
OR WI -to I-fAs
A&IDENTIFICATIC
SIGNA Y PUBLIC ,, T!URP OYNOTAR TYPE ORPKfKTNOTARY'
(SEAL)
TREVOR RKHMONDWNIACE
Cuwds"NG221916
SLCPDSD Rksed 04VI Irol I