HomeMy WebLinkAboutFilled Land Affidavit i
PLANNING&DEVELOPMENT SERVICES DEPARTMENT
'sigh Building&Code Regulations Division
Mej
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,
Delores A Schwenk (EST) - Lv�fl�• sot . l�oI , nm .�
(Parcel Id#/Legal description/Address) r-1, � ��� r► r �, ��� �
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.
Delores A Schwenk (EST)
Prope Owner Name(Plea Print
Property Owner Signature Date
STATE OF FLORIDA,COUNTY OF Saint Lucie
ACKNOWLEDGED BEFORE ME THIS ' " DAY OF
BY Delores A Schwenk (EST)- WHO IS PERSONALLY KNOWN TO ME(12, OR WHO HAS
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PAO — L A�TDENTIFICATION.
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URE OF NOTARY PUBLIC TYPE OR PRINT NOTARY
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O N UMBER
tisY?i ,, WMN NLbj
MY COMMISSIO
• .o= EXPIRES:Septe7% Bonded Thru Notary P
SLCPDSD Revised 04/11/2011
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