HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
772% 462 1553
RECEIVED
FILLED LAND AFFIDAVIT FEB 12 L29t9
ST. Lucie County, Permitting
I, the undersigned, am the owner of the following described property, SCANNED
BY
1326-111-0002-000-9 St. Lucie County
(Parcel Idil/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.
George Reddy Gopu
Property Owner Name (Please Print) 114—, 019
roperty Owner Signature Date
STATE OF FLORIDA, COUNTY OF 5n.l rl—t sTb llii S Imo' 1
ACKNOWLEDGED BEFO EMETHIS DAY OF V`hJ 4I �1 ,20A,
nn , ! i�
BY G 1K WHO IS PERSONALLY KNOWN TO ME (12) OR WHO HAS
PRODUCED 4-6- Ii 'yy
SIG URE O NOTARY P LIC
� GugaCOMMISSION NUMBER
SLCPDSD Rcvised 04/11 /2011
AS IDENTIFICATION.
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TYPE OR P INT NOTARY
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