HomeMy WebLinkAboutFILLED LAND AFFIDAVITC&[.iIVTY F.
PLANNING && DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE; REGULATIONS DIVISION SCANNED
2300 VIRGINIAAVENUE BY
1ORT-PIERCE, PL 34982-5652 c♦♦ II�a
(772)St
.462.1553 -:' . Lucie County
FILLEDIANDS AFFIDAVIT
I, the undersigned, am'the owner of the following described property,
it
(Parcel
for which I have applied to St. Lucie County -for a Final Development Permit. In
accepting this Final Developmen> Permit, BP Number I -acknowledge
that as owner of the -above A6sdribed 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.
r yO�n�ame
Property Owner Signature.. Date.,
STATE OF FLORIDA, COUNTY OF
ACKN�O0 EDGED BEFORE �E THIS -9DAY 0 / y '� , 20/ J ,
BYY�(`%�' C�e-� / &ASzyngOo PERSONAL KNOW TgME._ OR WHO HAS
PRODUCED /
NUMBER
TYPE OR PRINT NOTARY
,0 .2 % SHERRI L MEMAN (SEAL)
MY COMMISSION t DD 97M
EXPIREs9u}3dMarch
"S ammTMrvm
AS IDENTIFICATION.
SLCPDSD Revised 0824i2010