HomeMy WebLinkAboutFILLED LAND AFFIDAVITk
ONEISW
-A
PLANNING & DEVELOPII&ENT SERVICES DEPARTMENT
WILDING & CODE REGULA71ONS DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
FILLED LA14DS AFFIDAVIT
1, the undersigned, am the owner of the following described property,
description/Address)
SEP 25 av
SCANNED
BY
St. Lucie County
to r 64--to y
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 V;HL NOT be adversely affected.
I finiber 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 OJT my property which will not adversely affect the immediate
community.
--T� ®rrnd(wk
Property owner Name (Please Print)
ature at?
�vra�pertyOwner RIp��
STATE OF FLORIDA, COUNTY 0&4�==—
ACKNOWLEDGED T S 15) DAYOF
By�v� ILI()JI�_WHO IS PERSONALLY KNOWN TO ME _ OR WHO HAS
—COMMISSION NUMBER
SLCPDSD Rmi�r!08124)2010
AS IDENTIFICATION.
6S-
,T rEORPRINTNOTARY
EAN)\kCy MIMS ARMSTRONG
My COMMISsION#EE059652
EXPIRES January 30, 2015
3 FloddafttarYSOR10 cOm