HomeMy WebLinkAboutFILLED LAND AFFIDAVITr�
17 L91:7- WC/ o
SCANNED
BY
ucie County
FMLED -LAND S- AFFIDAVIT- ---
ST. LUCIE COUNTY
BUILDING & ZONING
2300 VIRGINIA AVENUE
FORT PIERCE, FL.34982-5652
772-462-1553
I, the undersigned, am the owner of the following described
UI �so zau EAO l 7-� 16FI3as..f C
(Tax 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 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.
P ;L - &LA , f�� - -/-)
Property Owner Name Property Owner Signature Date
STATE OFFLORIDA. COUNTY OF '-'LLLG�'e-
ACKNOWLEDGED BEFORE E THIS c DAY OF J 200
BY L A� �Mes,__WHO IS PERSONALLY KNOWN TOMEOR WHO HAS PRODUCED
AS IDENTIFICATION.
Ow a- T"AADIn
SIGNATURE OF NOTARY
NOTARY PUBLIC TITLE
TYPE OR PRINT NAME OF NOTARY
COMMISSION NUMBER
S
CARLA NELSON ...... _
NWal Public - Sall 61 Floridi
M CO 4ibn • FF SSSS96
Iq CUM E108 16 21.2020
I
(SEAL)