HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING 8s DEVELOPMENT. SERVICES DEPARTA�EENT
Building & Code Regulations Division
2300VIRGINIAAVENUE
ga
FORT PIERCE; FL34982-5652
(t72) 462d553
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FILLED LAND AFFIDAVIT .:..
I, the undersigned, am the owner of the following described property,
SCANNED
BY —
St. Lucie County
for which I have applied to St. Luc County for a Final Development Permit. In
accepting this Final`Development Permit, BP Number /1I0r0/61 , 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 thedevelopment 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.
Ckmdets - /IMMot s
Property, Owner Name (Please Print)
at. P d -Y&d . la 7 oZo1 9
Property Ownif Sipature Date
STATEOPPLORmA, COUNTY OF JT, ,(
ACRNO G D BEFO ME THIS DAY OF �G:P/'G�i/ .20. L 9
R1� c.�
`��1��WHOIS PERSONALLY KNOWNTO ME(1: 1)OR WHO HAS
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SLCPDSD.Revised 04,q 112011
NUMBER
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JOSH ARRELSN
z� °0� Notary Puhfc, State of odda
Commission# GG 249941
My comm. expires Aug. 16, 2022
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