HomeMy WebLinkAboutFILLED LAND AFFIDAVITM"Om2m"� PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
900- 2300VIRGINIA AVENUE
FORT PJERCE�FI,34982-5652
RECEIVED (M) 462-1553
AUG 3=1 2018 FELLED LAND AFFIDAVIT
S ST Lucie CO , _rmjttjn�
T. Lucie county�?ermitt!"
1, the undersigned, am the owner of the following described property,
(Parcel ld#/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 TBD
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 afrected.
I finther 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
communi.ty
LANDON, LANE / PM
Property , cr Name (Please Prffit)
7-27-2018
K*Cty Owner Signature Date
TN n �by,
STATE OFfbOMA. COUNTY OF
ACKNOWLEDGED BEFORE ME THIS DAYOF
By Land -n Unk OR WHO HAS
—:WHO is PERSONALLY TO ME
SLCPDSD Revised 04/11/2011
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