HomeMy WebLinkAboutFilled Land Affidavit PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building& Code Regulations Division
• 2300 VIRGINIA AVENUE ��
FORT PIERCE,FL 34982-5652 1+�;l�-s ( ,r)?
(772)462-1553
APR 19 2090
FILLED LAND AFFIDAVIT PEP?olITTING
St. Lucie County, FL
:
I,the undersigned, am thMry-%moci�
ner of the following describedpro�ert
.(0�3 LQ zy Ln 13lekC FL 34 931
Eli r sPl-D��3 -,�o0 l
(Parcel Id#/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 acknowledge
that as owner of the above described property, and in accordance with Section
7.64.01(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.
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ol�2r�- �e� o n
Property r Na (Pleaye Print)
Property Owner Signature Date
r .
STATE OF FLORIDA,COUNTY OF �
ACKNOWLEDGED BEFORE ME THIS `� DAY OF ` 20A-(0 ,
BY W CWHO IS PERSONALLY KNOWN TO ME L_)OR WHO HAS
PRODUCED 1 Ste_ AS IDENTIFICATION.
SIGI TYPE OR PRINT NOTARY
aI5-14.2 COMMISSION NUMBER
list
JF/pNb11 Idch
miV`SF17rI
COMMISSION n FF156628
'�- EXPIRES: Sept. 3, 2018
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W�VW.AARONNOTARYMM
SLCPDSD Revised 04/11/2011
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