HomeMy WebLinkAboutFILLED LAND AFFIDAVIT �!! PLANNING&DE vELOPA ENT SERVICES DEPA,R�'MENT ,
j B,u3lduc g&Cade Regulations`Dly"XROM
-- -- _t 2300 VIRGTNI? AVENLT$ RECEIVED::;
F,ORT'PIERCE,
(772)A62715531, �- DEC 10 N2021
FILLED T;AND A 'k'IDA T St Lucie County
:.. Permitting
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L floe undersigne4l am the:owner of the.following;descnbed.propei�t;y
C-i�t�:5�
(Parcet>,td#/Legal descriphon/Address)
for which 1 bave applied; to St Lucie COuuty fora Final Develo „ent Permit Irk
accepting this F3naI.Develapment Permit,_BP;Nungler a\C��1'�1r1 -. Y acknowledc
fat as owner of -the above described property ;and 'in accordance wxtTl, Section
'7 04 0'Z(D), St. Lucie County Land DevelopmeiitCoce,.I.•sha71=beresponsible>for:assuring
adequate drainage so that the4mmed>iate community V�II,L NOS be�adversely affected
fiirther acknowledge thn grautmg tins pemlzt for the'deoelopaient of
at i this pragerty
St Lucie`County'�s;nertfier obliged nor liable.totprividefar, or maintai>� m any form;
adequate drainage off my property wtuch': will' .uat adversely:"affect:the inniedtate
community'
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I.,s � ¢631s tJs C :n t3 ik '�ieF l " f3 '".^
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a
Prop UwnerlVame;(Pl Pi urat)
<. Property Owner:`Stgnatiu. Date
STATE OF.FLORII?A CpUNTYOE
ACKNOWLEDGED BEFORE ME THIS DAY OF..>.�f _ ;2_p `,s
WIiOIS PERSONALLX KNOWN.TO ME kOR WHC11iAS'
PRODUCED /ZS` /7 �a As 1DENTMQkTiON
-
E OF„N ARY P_ L[G TYPE OR PRINT'h OTARY
QS►►GP�e� MARGARITi�PONTE
= Notary PU611c State goQlo da
Y "GG 3306j9
, 1 Cammissl' 4
l 23
Comm.Expires Ju•3.t 20
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