HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
SCANNED
FILLED LAND AFFIDAVIT BY
St. Lucie County
I, the undersiz�ed, am the owner of the following described property,
13/2 - 5002• 60t09 - coo -,3 . _ _
�f 'P4 r do FL. 3
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number L ?L -f- q JI 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 Owner Name (Please Print)
Property Owner ignattue Date
STATE OF FLORIDA, COUNTY OF &-LuoJ.Z
ACKNOWLEDGED BEFORE M^/L
E,T�HIS�� ,t DAYOF ���i1.�r .20�
BY JZ6e" jI - HU/ /S WHO IS PERSONALLY KNOWN TO ME (El OR WHO HAS
PRODUCED V a. -An i$(/lc% t.r/ u n st_ AS IDENTIFICATION.
O' NANOTARY
TURE OF NOTARY PUBLIC TYPE OR
66 /55GISCOMMISSION NUMBER
INE MIw
of FlorimissioCommSLCPDSD
Revised 04/112011
Octob
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