HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
o Building & Code Regulations Division
2300 VIRGINIA AVENLIE•
FORT PIERCE, FL 34962-5652
(772)462-1553
SCANNED
BY FELLED LAND AFFIDAVIT
St. Lucie County
I, the undersigned, am the owner of the following described property,
03 ODOZ� _S O111N S1 GAJ
(Parcel
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP dumber , 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.
1 6 N 1
Prop L,&Iame (Please Print)
Prop" Owner Signature Date
STATE OF FLORIDA. COUNTY OF `/Rf•�r'/3
ACKNOWLEDGED BEFORE ME THIS
By _'� .-
_DAY OF (.C'77J246_2j3—,
WHO IS PERSONALLY KNOWN To ME (Qt OR WHO HAS
owinnr•rn
__ _ _AS IDENrIFICA'I'[ON.
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SSI NA'I'UR� 1, OP 1�iTAR1PWaLIC TYP£ORPRI?:TNOT.ARY
_ _ _CON�iISSiON VUIIBER
SANDRA J. LAFR6NIEA7E
Notary Public - State of Florida
. Commission a FF 960247
My Comm. E Plres Apr 14, 2020
Bondedlhrough National Notay Assn.
SLCPDSD Revised 04/11201 I