HomeMy WebLinkAboutFILLED LAND AFFIDAVITa .. —
PLANNING & DEVELOPMENT SERVICES DEPAR NT R ECEIVED
Building & Code Regulations Division
2300VIRGINIAAVENUE APR 2 9 2019
FORT PIERCE, FL 34982-5652
(772)462-1553 ST. Lucie County, Permitting
FILLED LAND AFFIDAVIT
SCANNED
I, the undersigned, am the owner of the following described property, St. Lucie B County
S iV 06- �0 i o S V,
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.
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Property wnerSjgnature
Date
STATE OF FLORIDA, COUNTY O
LLC,t.�i
ACKNOWLEDGED BEFORE ME THIS DAY OF O r ) 20�
BY cJ e b-t& rJ i) O / n 14/eb.VHO IS PERSONALLY KNOWN TO ME (_) OR WHO HAS
PRODUCED
SLCPDSD Revised 04/11/2011
COMMISSION NUMBER
IDENTIFICATION.
VTAR�
(SEAL)
•yi:: AUDREYB.HUMPHREY
=UMY COMMISSION & GG 300817
-M* EXPIRES: March 6, 2023
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