HomeMy WebLinkAboutFilled land aff : -
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- PLANNING&DEVELOPMENT SERVICES_DEPARTMENT
Butldtng&Code RegulationsDiv
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2308 YIRG[N1A'•AYENL�E
_ FORT PIERCE,FL:34982�652
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FILLED LAND AFFIDAVIT
I,kthe undersigned,am the owner of the follawuig described property,
4502 212-0001-020=7 9563 S `Ocean WVe, Jensen Beach 3495�,. ,
(P`s'rcel IdWLftal descrlpiion/AddresO.
for which I have apphedt.'to St °Lucie County for a Final Development Pernut In
accepting this!Fuial Development;Permit, BP `Number see8elow�ist-: ,; I acknowledge
that as owner of the above described property, and u accyrdl�rice with` Section
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-- 7,04 OI(D), St Lucie-County Land Development Code,�I:shall be responsible for::assur>ng '." - °: -
adequate drauage so that the tmmedtate`commumty',WILL-NOT be adversely'a#fected.
IL-furthe acknowledge that iii'granting this permit far the:development°`of this °ro ert ..
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St Lucie County is neither obliged nor;liable-ao provide for, or maintain in any forii,
adequate drama`e-off my'_ property which will not adversely affect--the immediate
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community Permit#s 2010 0252(Bldg::A},2010>0267(B),2010 0271 (C),2010-0274.(I3)
2010.0277(E) 2010=0270(F)
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Property own&Name.(Please Prints €
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STATE OF FLORIDA,COII1ti'TY OF
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BEFORE7METNIS : `� DAYOF V �Fi�l 0
BY V WHO IS PERSONAI.I.Y KNOWN TO MF( OR:WI,HA -
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:PROD AS IDENTIFICATION,
S T _,Er FIB 9LC , TYPE OR PRINT NOTARY-
ONiMISSION NUMBER �A�11111i111lllll/�Z
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