HomeMy WebLinkAboutFILLED LAND AFFIDAVITRfvy ,�' - '� �406� 0994
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE SCANNED
FORT PIERCE, FL 34982-5652
(772) 462-1553 BY
St. LucieCau*
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
(Parcel
for which I have applied to St. Lucie County for a Fqj Development Permit. In
accepting this Final Development Permit, BP Number � OHO -OM, 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.
' i + V-6, ,
P Owner Name ( case Print) �,./,,
Property Owner IS gna� turc0Date
STATE OF FLORIDA, COUNTY OF U� • v �'`
BEFORE ME THIS C DAY OF 2011
BY
PRODUCED
ATURE OTARY PUBLIC
COMMISSION NUMBER
WHO IS PERSONALLY KNOWN TO ME L—) OR WHO HAS
(SEAL)
SLCPDSD Revised 04/112011
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