HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE RECEIVED
FORT PIERCE, FL 34982-5652
(772) 462-1553 DEC 0 3 2018
FILLED LAND AFFIDAVIT 5T. Lucie County, permitting
SCANNED
I, the undersigned, am the owner of the following described property, BY
St. Lucie County
a300 C.Cxr.00 e,(<-0K Lay\¢ 34DA-col-600�-000-0
(Parcel IM/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.
Qt-,XA
Property jwner Name (Please Print)
Sol 1�,1 R, myho II-i3-I00
Property Owne Signature Date
STATE OF FLORID& COUNTY OF 5 T . L uC 1 C
ACKNOWLEDGED BEFORE ME THIS, �iDAY OF NOV 20—L%_,
BY SO HO IS PERSONALLY KNOWN TOME (ElOR WHO HAS
PRODUCED VOL—
L—
SIGNATURE
SIGNATURE OF NOTARY PUBLIC
COMMISSION NUMBER
SLCPDSD Revised 04/112011
AS IDENTIFICATION.
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