HomeMy WebLinkAboutFilled Land Affidavit i
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PLANNING & DEVELOPMENT SERVICES DEPARTMENT
, Building &Code Regulations Division
2300 VIRGINIA AVENUE i
FORT PIERCE,FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
4502 501 0043 000 4.2040 NETTLES ISLAND JENSEN BEACIH, FL 34957
(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
7.04.01(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.
!NETTLES REAL ESTATE, LLCc/o Linda Hacris
r p rty Owner IlaI a(Please Print)
roperty Owner Signature Date
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STATE OF: OVA,COUNTY OF ` C
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ACKN pOW��!.EDGED'BEFORE ME THIS I57 DAY OF_ rn/ ,20�_,
BY kA hj6- lfaC ~t g WHO IS PERSONALLY KNOWN TO ME k&OR Mgio I4AS
PRODUCED AS IDENTIFICATION.
SIG TURE OF NO ' Y PUBLIC TYP R PRINT NOTARY
COMMISSION NUMBER �\\`�, An Janette 14 i.10,WE
Notary Pubiic;
in and EbAme State of, NO
Recorded in Stark County
My Commission Expires
March 30, 20214
SLCPDSD Revised 0411112011
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