HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE 6GANNEL)
FORT PIERCE, FL 34982-5652 BY
(772) 462-1553 St. Lucie Counts
1011111110117FAMI 11�11Z 11y-VA GI
I, the undersigned, am the owner of the following described property,
a3QLQ - &on- Oooa-000-3
(Parcel
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.
J fAt/%O C.- 4 0W I,911 ' O%30 212, --are-
Property O�y a ame a t)
��
Property Owner azure Date
STATE OF FLORIDA, COUNTY OF ✓ re V0-y-4
ACYII WLEDGED BEFORE ME THIS d DAY OF 1 EIP ,20'
BY 1 &_Yu2� L'�t tr,T�r'l t WHO IS PERSONALLY KNOWN TO ME ( ✓ 1 OR WHO HAS
PRODUCERI _ AS IDENTIFICATION.
COMMISSION NUMBER
11-W 1`Ct Pdrp*_�f
TYPE OR PRINT OTARY
(SEAL)
SLCPDSD Revised 04/112011 O!Au
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