HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553 I
FILLED LAND AFFIDAVIT DEC 0 4 2018
SCANNE ST.
BY Lucie County, Permitting
St. Lucie County
I, the undersigned, am the owner of the following described property,
yaa�,5b)-66 (oq -aY)/�5- `)r PSL
(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.
V a S) � 1-K to ra 0, � Upuu r
mv
Owner Name (RI a Print) I II il jg
Property Owner Sihdatdrel Date
STATE OF FLORIDA, COUNTY OF _St, I ,UC.L'P.
ACKNOWLEDGED BEFOREME THIS /+ e� pDAY OFF JZ' , PiMY t 20 q
BY ��J LISI (P'3 V_ 14 Yla VLit 7t i ,S PERSONALLY KNOWN TOME 02
,2OR WHO HAS
PRODUCED
ef SIGN TUREOFN YPUBLIC
1_7_141e� -COMMISSION NUMBER
SLCPDSD Revised 0411112011
AS IDENTIFICATION.
TYPE OR PRINT NO RY
(SEAL)
"`•'`4. KINBERLY KOCH
t,ola Pcblic - Stale o`Florica
Cwmissior = GG 177493
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