HomeMy WebLinkAboutFILLED LAND AFFIDAVITSCANNED
BY PLANNING & DEVELOPMENT SERVICES DEPARTMENT
St. Lucie County BUILDING & CODE REGULATIONS DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553 AUG 17 eltl'
FILLED LANDS AFFIDAVIT `t. Lucie °"nti', `-
I, the undersigned, am the owner of the following described property,VSjZ-4a40 -40iz�,evO
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(Parcel Id#/Legal
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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.
erty Owner Name (Please rent)
roperty Owner. lgnature_ , Date
STATE OF FLORIDA, COUNTY OFC5F . L4U- , j>-_
ACKNOWLEDGED BEFORE ME THIS DAY OF V n
/J BY N"r\/5f I6P WHO IS PERSONAL OWN TO ME_ OR WHO HAS
PRODUCED AS IDENTIFICATION.
1ir',s1�y Lr' ILK S rJ'T
SIGNATURE OF NOTARY PUBLIC TYPE OR PRINT NOTARY
COMMISSION NUMBER
r nM07HY0.ER7=139
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EXPIRES: October 31, 2018
'�, •• Banded Thu NotaryPubGe Undemba
SLCPDSD Revised 08f)A2010