HomeMy WebLinkAboutFilled Land Affidavit ,i it
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y „ PLANNING& DEVELOPMENT SERVICES DEPARTMENT
Building&Code Regulations Division
NO 2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652
(772)462-1553
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FILLED LAND AFFIDAVIT!
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I,the undersigned, am the owner of the following described property,!
4425-605-0024-000-8 / 2020 NW Royal Fern CT Palm City iFl 34990
(Parcel Id#/Legal description/Address)
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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
7.04.01(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.
Catherine J Johnson
Pro erty Owner Name Please Print)
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Property Owner Sign ur Date
STATE OF FLORIDA,COUNTY OF
54. L UC -f
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ACKNOWLEDGED BEFORE ME THIS ! DAY OF J G to«a✓y 20' /g
BY C04N fV i A- ��AnviSa.n WHO IS PERSONALLY KNOWN TO ME(01OR WHO HAS
PRODUCED Jess I i e ti1S-{ 'AS IDENTIFICATION.
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SIONATURE OF NOTARY.PUBLIC TYPE OR PRINT NOTARY' i
GG�S'7/3 S COMMISSION NUMBER
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(SEAL) I
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SLCPDSD Revised 04/11/2011 �00 Notary Public State of Florida
Rozanne Marie Glogowski
�< �;o< My Commission GG 157135
AN Expires 11/0!:2021 1
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