HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DER
BUILDING & CODE REGULATIONS DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
M
FEB 13 2019
ST. Lucie
FILLED LANDS AFFIDAVIT
I, the undersigned, am the owner of the following described property,
18/M0'AJ! &1�-- /5`2S•7d/—ly0(1/9.066 -S
SCANNED
By
St. Luce County
for which I have applied to St. Lucie County fora 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.
L,' W ^ 4
Print)
Property Owner
Date
STATE OFFLORIDA, COUNTY OF 1 g— z /
A WLLEED�,GE,D,BEE,FORREE ME THIS/'ZZ 9 DAY OF ,20�,
By _ 4 A GCS JTu��"ERSONALLY KNOWN TO ME-�e OR WHO HAS
AS IDENTIFICATION.
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TYPE OR PRINT NOTARY
COMMISSION NUMBER p
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SLCPDSD Revised 08242010