HomeMy WebLinkAboutFilled Land Affidavit- signedPLANNING & DEVELOPMENT SERVICES DEPARTMENT
uilig Code egulatios ivisiowm2300 VIRGINIA'AVENUE
gooloommommow FORT PIERCE, FL 34982-5652
(772)462-1553
FILLED
1 the undersigned, am the owner ofthe followia ri a property,
- 1 - - -7 9563 S. Ocean Drive, Jensen Beach
( rcel agnI description/Address)
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number see below list ` acknowledge
that s owner of the above described property, accordance with ecti
7, . 1( ), St. Lucie County Land Development Code, I shall be responsible for assuring
adequate ra` a e so that te immediate community -WILL NOT be adversely affected.
I further acknowledge that in rant` this permit for the development oft is property,
St. Lucie County is neither obliged nor liable to provide for, or maintain in any form,
adequate drainage off my property whichwill not adversely affect the immediate
community. Permit s: 01 - 2 (), 2 10- 2 7 ),'2 1 -0 71 (), 2 - 74'()
2010-77 (E), 21 -7 (F)
LLC-
PropeOwner Name (Please Print)
Lo - ?C- Z'o to
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STATE OF FLORIDA, COUNTY O
ACKNOWLEDGEDBEFOREE THIS d i AY OF .
Y x AWHO IS PERSONALLY KNOWNTO E( I O WHO HAS
PROD _ � _ .. AS IDENTIFICATION,
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SI T E F, A. ILL C � TYPE"OPNT NOTARY
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ivIMISSION NUMBER �t\Nli11i111+1!//Aft
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SLCPDSD Reyised 4�-11i-011 a