HomeMy WebLinkAboutFILLED LAND AFFIDAVIT:.1. 1. ; W t+r�� � . Il�y z•�Cy 97 7�:yr1�i�.r�
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 349132-5652
(772) 462-1553
SCANNED
BY FILLED LAND AFFIDAVIT
St. Lucie County
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JAN 6 2020
Permitting Uepartment
St. Lucie Ceun-Ly, FL
I, the undersigned, am the owner of the following described property,
(Parcel IdN/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 I G� (1- 83, 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.
J M,,-(L61& -
Property er Nam lease Prin {{
Prop Owner Signature Dafe
STATE OF FLORIDA, COUNTY OF —9-r- C—t-G e
ACKNOWLEDGED BEFORE ME
1:Y4
COMMISSION NUMBER
SLCPDSD R"iud 04/112011
.202c,
OR WHO HAS
IDENTIFICATION.
TYPE OR PRINT NOTARY
(SEAL)
Dalald Lewis Bnmvnett
NOTARY PUBLIC
STATE OF FLORIDA
Comm# FF981837
Expires 4/1312020
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