HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
SCANNED
BY
FILLED LAND AFFIDAVIT St. Lucie County
I, the undersigned, am the owner of the following described property,
0331 LON
(Parcel Id#/Legal description/Address)
Sr LA (Ia
for which I have applied to St. Lucie County for a Final Development Permit. ` In
accepting this Final Development Permit, BP NumberS(,G 16M-1207I acknowledge
that as owner of the above described property, and in accordance with Section
7.04.01()), 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 finther 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(tV-vd %F kM. LLC
Pro erty ner Name (Please Print)
7o0 B6G�NEQ 3 3I /
operty Owner Signature Date
'`ENAICSS1P+rMIM14
STATE OF FE9RIi� COUNTY OF
ACKNOWLEDGED BEFORE METHIS 31 ;W DAY OF PM #4 C! 201�,
BY WHO IS PERSONALLY KNOWN TO ME () OR WHO HAS
PRO UCED
SIGN rURE OF NOTARY PUBLIC
COMMISSION NUMBER
SLCPDSD Revised 04111/2011
IDENTIFICATION.
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NOTARY
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