HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division i
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,
3{0k-(o0-3 Darla —dodo W+s (11,6%I bq,13lvck. (, 3;ndPA 0 CC
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 describW-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 fitrther 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.
Urc / ,7(,t1T1 'A)-k
Prope er Name (Please Print)
P o y Owner SignEwe, Date
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED 13EEFFORE}ET.HIS\ DAYOF :\ 70�
B�✓LO 4\ W WHO IS PERSONALLY KNOWN TO NIE (m(, VOOR WHO HAS
PRODUCED
%SIGNATUREOOF NOTOLYPUB
V"'• 151 'l CONMISSIONNUMBER
SLCPDSD Revised 041112011
IDENTIFICATION.
rev &-A ti A. �ou�
TYPE OR PRINT NOTARY
jtq`t :b"'•�, BEVERLYAYOUNG
dMMISSION # GG 136497
A.W. EXPIRES:October29,2021
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