HomeMy WebLinkAboutFILLED LAND AFFIDAVITSCANNED
BY
St. Lucie Countv
P_LANNt G A DEVFL'OPMENT SERVICES DEPARTMENT'
BuildmgA Code Regulations Divrs(on
2300 VatGIN1A AVENUE_
FORT PIERCE,.FL 34992-5652.
(?72)46Z-1553:
FILLED -LAND AFFIDAVIT:
I, tife: idCM&dd,.airi the owner of the fdllo*ing described property,,
for which I Mve applied iG St. Lucie Coanty far a; Final. Development Permit. 'In
accepting this Finaf Development Permit, tP-Number- I acknowledge that as
owner 9f the above descti[ied property, and in"accordence with Section 7,Q4.OI(D);'St
Lucie County Land Development! Code„ I shall be; responsible' for assuring adequate
drainage so (list the unmedrate coiiimanity.WILI'NOT be adversely, affected I iritther,
acknowledgethat in granting this permit for the development of this property, St. Lucie.
County is neither obliged nor liable to provide for; or-maietain.in any foam, adequate
drainage offiny propert,� winch wilt not:adversely aEYectthe immediate community
Na;, 2}n4e �y.fw GiI"; 1i. pd�ele pA ,
Property QwnerMate, .(Please .. t)
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Property Owner signatnrc
STATE OF FLORIDA, COUKrY OF_t5r , _ L$Cfit
ACKNOWLEDGED BEFORE METHIS Z-Z ORYOF_a,l l"E
BY 1['_ �l�i C'�kV Lgct- WHO tSPERSONAt1YKNOl N16 ME(_,�jORWHO HAS,
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TYPEORPRINT.NOTARY
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S.LCPDSD Revised0VIM(1
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