HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVIICES DEPARTMENT
s Building &Code Regulations Pivision
2300 VlRGIIVIA AVENUE;
FORT PIERCE, FL 34982-5652
(772)462-1553
SCANNED �c�, P`ccFrL
BY FILLED LAND AFFIDAVIT
St. Lucie County, `oP oP tp
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I, the undersigned, am the owner of the following described property,
LOT21, LONE PINE SUBDIVISION
IdttlLegal desertption(Address)
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number j%Q-Q,53Q, I acimowledge
that as owner of the above described property, end rn 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 MjEj NOT be adversely affected.
I fiuther 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 notadversely affect the immediate
community.
WILLIAM C. TILLBERG II .
Prop'='�jegy,Name (Plea • ) )
Property Owner Signature _ Date
STATE OF FLORIDA, COUNTY OF T VL{kltn l\ `
ACKNOWLEDGED BEFOREME THIS -A DAY OF �f✓ 10�
B,
y 41W `.I Lt`B�WHO TS PERSONALLY KNOWN TOME( OR WHO HAS
SLCPDSD Reviwd04/r I/10 t I
AS MENTTFICATION.
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_TC TYPE OR PRTNT NOTARY
(SEAL)
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DENICEROUCNEA
Notary Public -State ofHodde
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