HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, Fl, 34982-5652 SCANNED
(772) 462-I553 BY
St. Lucie Countv
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
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(Parcel
Al S)& 1-�-
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number , 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.
H A62 r
�r Name (Please Print) 660jS86
R&op= Qwfter Signature L.C-9-Se�G- Date
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFORE METHIS�IL4 DAY OF 1 20 47
n
BY I V JL WHO IS PERSONALLY KNOWN TO ME ( �l OR WHO HAS
PRODUCED
4SI N�F,,.
SI NATURE OF NOTARY PUBLIC
COMMISSION NUMBER
SLCPDSD Revised 04/I112011
AS IDENTIFICATION.
Jo}ir1AlY tyie cy
TYPE OR PRINT NOTARY
JOANN MARIE RILEY
;., Commission # EE 848774
Ex ires December 4, 2016
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