HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
SCANNED
FILLED LAND AFFIDAVIT BY
St. Lucie County
I, the undersigned, am the owner of the following described property,
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description/Address)
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number /,?0Z — O, 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.
/qtc 0'e-[ D Sole,
Property O er Name (Please P int)
Property Owndr Signature Date
STATE OF FLORIDA. COUNTY OFWn, ?,eA c
ACKNOWLEDGED BEFORE ME THIS M DAY OF. Yq IX\\A� .20. 1�_,
BY V t�\CI5L1p I W-5��� WHO IS PERSONALLY KNOWN TO ME OR WHO HAS
I
SLCPDSD Revised 04/112011
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c Sto a idaicklandsion FF 752020
4TION.
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FI.34982-5652
(172)462-1553
SCANNED
FILLED LAND AFFIDAVIT BY
St. Lucie County
I, the undersigned, am the owner of the following described property,
(Parcel [df//Legal description/Address) j 7
' /
for which I have applied to St. Lucie County for a Final Development Permit. In 7
accepting this Final Development Permit, BP Number /AO,Z — 0, 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.
if
Pro 6rty weer aatne{Ple n ! _......
Property Owner Signature Date
STATEOF FLORIDA, COUNTY OF
ACKNOWLEDGED
13EFOwREM}.E�THIS
Wr�i DAY OF
BY ,Y."—O
IS PERSONALLY KNOWN TO ME(I:OR WHO HAS
PRODUCED ` —2) r AS IDENTIFICATION.
SIGNATU EON ARYPUBLIC TYPE OR PRINT NOTARY
COMMISSION NUMBER
(SEAL)
SLCPDSD RwiW 04/112011 �
JAW RINO
Nolary PubIlo, Sieto of Florlds
Comr4ss!ao0 FF 902301
gy ONIm, oy$os AM.10, 2019