HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
® FORT PIERCE, FL 34982-5652
(772) 462-1553 RECEIVED
FILLED LAND AFFIDAVIT APR 15 2019
ST. Lucie County, Permitting
SCANNED
1, the undersigned, am the owner of the following described property, BY
St. Lucie County
_al"M cd4,,F, a- D&Iur, FbaT P169cl h:11?AiJA
(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 , 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.
KACafL 1,11a S
Property Nam lease Print)
Own7 s ��
Property Owner Signature Date
STATE OF FLORIDA, COUNTY OF S G uC / C
ACKNOWLEDGED BEFOREMETHIS DAY OF 20�Z
BY ,* 9-G -P// //,� S WHO IS PERSONALLY KNOWN TO ME OR OR WHO
FROM ICED FL .2),. L./an cP �/ / Q%Jn� tr�D' S0J �J—� ACTTIFN fFT(.ATi(1N_
Z. M" A),? A
TYPE OR PRINT NOTARY
/�avaY CONMSSIONNUMBER
(SEAL)
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Nolary Public State of Floritla L. MCrtSLCPDSD Revised 041112011 y Commission GG 162024
splres02/04/2022