HomeMy WebLinkAboutFILLED LANDS AFFIDAVITST.
MAR 0 S 2019
PLAMUNG & DEVELOPAIENT-SERVICESDEPARTNIM
BUILDING & CODE REGULATIONS DIVISION
2300 VIRODUA AVENUE
FORT PUMM EL 34982-5652
(772)462-1553
IL 11 in 01]1 \11 : WN11 s
L the undersigned, am the owner of the following described property,
SCANNED
By
St. Lucie County
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 WH L NOT be adversely affected.
I fiather 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.
men
Owner Name (Pleas Print
q erry Owner Signature Date
STATEOFFLORIDA,COUNTYOF-:5 1)C-�
ACKNOWLEDGED-BEFOBB THLS_qA"N DAY OF \ `^.203a�
BY 'n WHOISPERSONALLYRNOWNTO ME J ORWEDHAS
PRODUCED
SLCPDSD Revised 08242010
AS IDENTMCATION.
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