HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Mae
- Building & Code Regulations Division SCANNED
2300 VIRGINIA AVENUE BY
FORT PIERCE, FL34982-5652 St. Lucie County
(772)462-1553
FILLED LAND AFFIDAVIT
RECEIVED
DEC 13 2018
ST. Lucie Coun PerMgLh
I, the undersigned, am the owner of the following described property,
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.
Property Owne ame (Please Print)
�4z 31 nG4 le
r Signature Date
.. Jvt�rA STATE OFpo�A, COUMrY OF cS h r' -b le rk 'IL
ACKNOWLEDGED BEFORE METHIS �1 5 DAY OF �� �� • 201k
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By �`F�' —WHO PERSONALLY KNOWN TOME OR WHO HAS
PRODUC
SIGNATURE OF POTARY PUBLIC
COMMISSION NUMBER
SLCPDSD Revised 04/112011
AS
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TYPE OR PRINT NOTARY
---------------------------------
PETER J. HALL
NOTARY PUB 40EMOVESOTA
My Comm. Exp. Jan. 31, 2020