HomeMy WebLinkAboutFILLED LAND AFFIDAVITRECEIVED APR 02 2015
PLANNIlVG & DEVEL nm wff SERVICESDEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
2300 VIRfBHIA AVENUE
J(;ANp��® FORT PIERCE, EL34982-5652 H1v Gll
13YY _ (772) 462-1553 - f 3y
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i_ude County �c•�
FILLED LANDS AFFIDAVIT
I, the undersigned, am the owner of the following described property,
2-312- — yI! — csvo j —00V3 ,
(Parcel IdWLegal description/Address)
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number. \ 5o 3 -•OaFk off, 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 r(either obliged nor liable to provide for, or maintain. in any form,
adequate drainage off my property which will not adversely affect the immediate
community.
V'sw—'OA/ �s . '41"Ue4P_
Property Owner Name (Please Print)
Prop Sigaat,re y Date
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFORE fvffiTHIS a DAY OF 'Q 1 \ i ,20 1S.
BY'56GQ. e\1 Yh NW\� r WHO IS PERSONALLY KNOWN TO NM ORWHOHAS
PRODUCED �l-.1D L- Wl `t66— L %%l @L-• a.�a zs AS]DIRf ICATION.
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SLCPDSD Revised 08rW2010