HomeMy WebLinkAboutFILLED LAND AFFIDAVITF
c PLANNING & DEVELOPMENT SERVICES DEPARTMENT
N. Building & Code Regulations Division
2300 VIRGINIAAVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
:)UANNED
FILLED LAND AFFIDAVIT ;1 BY
Ilrie County
I, the undersigned, am the owner of the following described property,
4233-111-0001-000/6
(Parcel Id#/Legal description/Address)
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number 1608-0213
that as owner of the above described roe I acknowledge
ance with Section
7.04.01(D), St. Lucie County Land Development ode, 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.
1
)PropeOwfner
N me (Please rm
ignah e /4-
ate
STATE OF FLORIDA, COUNTY OF ,&.
"' CA=1
ACKNOWLEDGED BEFORE ME TFRS �15� DAYOF_L�1�TP�y�rJ(-�Q-, 20 Ito
BY_ �I GI {�- WHO IS PERSONALLY KNOWN TOME
PRODUCED l_) OR WHO HAS
AS IDENTIFICATION.
SI NATURE OF NOTARY PUBLIC TYPE OR PRINT NOTARY
COMMISSION NUMBER
(SEAL)
............JOANNIMARIE RILEY
Commission # EE 848774
SLCPDSD Revised 04/11/2011 '="g Expires December 4,2016
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