HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
SCANNED
BY
St. Lucie County
I, the undersigned, am the owner of the following described property,
3404-711-0005-000-7 / 5421 Stately Oaks Street
(Parcel Id#/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 ja03- D� `{S , 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.
STATE OF FLORIDA, COUNTY OF
St Lucie
ACKNOWLEDGED BEFORE ME THIS
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DAY OF 1 v I a l(L 1
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BY �V1L-IY G�JId//SQ/l /V/
/Inl#/�WHO
IS PERSONALLY KNOWN TOME (X )OR
WHO HAS
6' ODD 0 7COMMISSION NUMBER
SLCPDSD Revised 04/11/2011
AS IDENTIFICATION.
Paula S. Breier
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t Bolndeed� Aaron Notary
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