HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGRgIAAVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553 ROMNIED
FILLED LAND AFFIDAVIT
AUG 1 g 1010
eni
FerMjttin9 DeP'T
-- - - - - St. Lucle`Cov
I, the undersigned, am the owner of the following described property, SCANNED
I- BY
(Parcel
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number I C? M—D+7)7, 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.
`2 a
Prop Owner Signature
Date
TATE OF FLORIDA, COUNTY Of s
ACKNOWLEDGED BEFORE METHIS
DAYOF �20—LA
BY !. ty�\ ll
WHO IS PERSONALLY KNOWN TO ME C—j OR WHO HAS
PRODUCED Ol_
ASIDENTIFICATION.ENTIFICICATION.
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PRINT TARY
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SIGNATURE ONTKTYP60RPd
YP
CJ 'OMM COMMISSION NUMBER
(SEAL)
LEN VgUGHN Florida -Notary PublicSLCPDSD
ission
Em
Rwiod 04/11/2011
# GG 270079mmission
Expirestober 22
2 2