HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division RECEIV913
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553 JUL 01 2019
SCANNED FILLED LAND AFFIDAVIT ST. Lucie County, permitting
BY
St. Lucie County
the undersigned, am the owner of the following described property,
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(Parcel Id#/Legal description/Address)-q��AaQ77 ,1 o F C"'Ormi v/uM ORF Y7z-SSP
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S7/11. 2 ��> -�S a oo •v., Akcw-1Fwf R2R nfaRaxtJrrr�lHnvssm isuMn FL y9/9
for which I have applied tot. Lucie County for a )+coal Development Permit. l�n
accepting this Final Development Permit, BP Number / 96 7—cxo 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.
PV 141 —( 6 /U & S
Pro wrier Name (Please Prin —
Prop y Owner Signature Date
STATE OF FLORIDA, COUNTY OF Sr- 1—
ACKNOWLEDGED BEFORE bE THIS Z4rw DAYOF,20 1g ,
BY SOs}sj 4. -'ONES WHO IS PERSONALLY KNOWN TO ME(11 OR WHO HAS
PRODUCED AS IDENTIFICATION.
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�. 19P.
SIG ATURE OF NOTARY PUBLIC TYPE OR PRINT NOTARY
66 Z 3 5291 COMMISSION NUMBER
SLCPDSD Revised 04/112011
SEAU
4isr e� BELINDA R. BOYD
I?, s Notary Public - State of Florida
i ®e`1 Commisslw t GG 235291
My Comm, Expires Oct 27, 2022
Bonded through National Notary Assn.