HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
• Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL *V-5652
(772)462-1553
FILLED LAND AFFIDAVIT
SCANNED
St. LuBY
Cie County
I, the undersigned, am the Owner of the following described property,
`n2 S-y1-609'm—tr 1r,0jj.1r4P_ marl Lot 9
M>AVbam
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.
TZAT-A-EL--'F-5- I r.IAL
inPro erty OwneS_Name (eleas --k t) 7
?Property:O.wn_rFSigua,ure - Date
STATE OF FLORIDA, COUNTY OF
AC wL AGED BEFORE ME TVIS 13 DAY OF I V1(A 20�
BY WHO IS PERSONALLY KNOWN TO. ME (_� OR WHO HAS
I A"TYPE OR P T NOTAA-�I-LL r e 1�� (�l t4(.m
(SEAL)
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SLCPDSD Revised 04/112011