HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
SCANNED (772) 462-1553
BY RECEIVE>�
St. Lucie Count% FILLED LAND AFFIDAVIT
OCT 2
L ST. Lucie County PerolltCnc
I, the undersigned, am the owner of the following described property,
3402 - 609 - 0 4 61 -0 0 0 -1 / Indian River Estates Unit 6 block 64 Lot 23 map 34111 n 5701 Sunset Boulevard Fort Pierce Florida
(Parcel Id#/Legal descripdon/Address)
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number k` 1%, 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.
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Propert Owner Name (Please Print)
/' 07 5�
Pr erty O ner Signature D e
IT
STATE OF FLORIDA, COUNTY OF� '\ �+ ,(,,�� ' G
ACKNOWLEDGED BEFORE ME THIS Jv y DAY OF V l� \ U T.�J'1 , 20�,
BY lb (1' an IV11 i4)WHO IS PERSONALLY KNOWN TO ME R WHO HAS
D AS IDENTIFICATION.
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SIGN TUR OFNOT TYPE OR PRINT NOTARY
COMMISSION NUMBER
SLCPDSD Revised 04/1I201I vfg�
bomm. exp'lles Feh.2o.2022