HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL34982-5652 SCANNED
(772)462-1553 BY
St. Lucie County
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
deseriplion/Address) 30ZG Nc,w jU00L16F6 1JAj &t etty, (C 3y94a
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.
Qe-IFL[9
operty Own am (Please P m0
Prop caner Signature Date
STATE OF FLORIDA, COUNTY OF MArtrW
ACKNOW
nL
OEDGED
yBEFFORE ME THIS Z D DAY OF _�� , 20 91
BY M A4x, iJ 1 C!!,[ b WHO IS PERSONALLY KNOWN TO ME L ) OR WHO HAS
PRODUCED 6,D L AS IDENTIFICATION.
ATURE OTARY PUBLIC
COMMISSION NUMBER
SLCPDSD Rwiud 04/112011
Jur,1E M 6-MI-I.sc
TYPE OR PRINT NOTARY
MY CJOUMLMIEISMSIOSNC#AE
(SEAL)