HomeMy WebLinkAboutFILLED LAND AFFIDAVITStir: LUCdl4. �•�
CO' hJ;I+Yy y
ST. LUCIIt COUNTY
BUILDING & ZONING
2M VatGM AVPrR113
FORTPfF1tM FL94992-SO2
772-4MISS3
a31 l
JUL 19 2017
I4' D LANDS A`F1.0DA IT SCANNED
BY
St. Luce Countl-
I We d Ath�a�yWDerofthefpllowm �d�es�a�i %-&p1Y7,4q16,
�1�
Oi-iY'Yyi OLGrmuctildemip iedAddre") Ya-9
for which I have applied to SL Lucie Col for a Final Development PermfL In seceptiag
this Find Development Permit, BP Number- I erlmowledge that as awaerof
the above drzmbed property, and in sccmdannce with Section 7.04.01(D), St Lucie County
Lend Development Code, I shell 6responsible for assuring adequate drainage sal the
immediate_commanity WiM NOT be advdaely affected. I farther aclmowledge tbat in
Fantingtfuspermitfor the developmentofthis prvperty, St. Lucie County is neitherobliged
norliabi$ to provide for, ormeititeinin sayform, ade4uate dramage off my property which
wti eee eAversely affect the immedlete community.
property owner Name PhTertyOwner Sipature Date
srA'MOFfl ORMA.CouHrroP�it- • 1 Uci 2 _
AlaWowt. mm uRehatwo DAYOF i���il -fit'
aY \1�..—{�0... ,;., iwrM6oaFLWMr.YIM"70MPORWHOHASPRODU®
'Mta.OPNOPAItY TmoRmiaNAMROPWaAAY -
Fi' t 93 oL mb4.mSWN tNhO1R
NOTAAYotm__4�_—T7r1E