HomeMy WebLinkAboutFILLED LAND AFFIDAVIT40 0
FfB 0 6Building & o ode Regulations
AVENUE
Division
1019
Pe St. n9 0 FORT PIERCE, FL 34982-5652
St. tucte County ent (772) 462-1S53
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
3402-608-0117-000-2
(Parcel Idil/Legal description/Address)
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St RUBy
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for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number LGCI`d--00%'1 . 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.
Gwen Hutchings
Irope�ty Owner Nai7fe (Please Print)
Signature
STATE OF FLORIDA, COUNTY
Date
ACKNOWLEDGED BEFORE ME THIS (al DAY OF (r e I . 20
/-1t-18—
BY V VA1T WHO IS PERSONALLY KNOWN TO ME (P OR WHO HAS
PRODUCED AS IDENTIFICATION.
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SIGNATURE • NOTARYLIC TYPE O�R�I INTN OT YZ�/
COMMISSION NUMBER
(SEAL)
..0cMyk Notary Public State of Flonda
SLCPDSD Revised 04/112011 Lacey L Riva
yr_ • My Commisvon GG 166732
oin Expires 12/1712021