HomeMy WebLinkAboutFILLED LAND AFFIDAVITr � '
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652 �+���
(772) 462-1553 SCANRItL
BY
FILLED LAND AFFIDAVIT St. LudeCono
I, the undersigned, am the owner of the following described property,
S.'7I(IOJIl/I L�llc�T.JTi1i7
(Parcel
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number 19 B 61 6�-oa.6I 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.
i AWIze'l — AP_doV
Property Owner Name (Please Print)
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Property Owner Signature Dates
STATE OF FLORIDA, COUNTY OF ST Lu cl,5
ACKNOWLEDGED BEFORE NIE THIS T� DAY OF :3!) L )% .20 16
BY. Arci12et T-_Vc'deV WHO IS PERSONALLY KNOWN TO ME L )OR WHO HAS
nCOr/ I AS IDENTIFICATION.
Lo guide. Ca12madoS
TYPE OR PRINT NOTARY
(SEAL)'
NOTARY PUBLIC OF NEW ERSEY
SLCPDSD Revised04/1 M011 MY COMMISSION EXPIRES 8 22-2018 y '
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