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I
PLANNING &
B
;LOPAUM SERVICES DEPARTMENT
& Code Regulations Division
2360 VIRGINIA AVENUE
AT PIERCE, FL 34982-5652
(772) 462-I553
Iff.10171ju17\�IYil
I, the undersigned, aim the owner of the following described property,
(Parcel IM/Legal
for which I have
accepting this Fina
that as owner of
7.04.01(D), St. Luc
adequate drainage
I further acknowle
St. Lucie County i
adequate drainage
plion/Address)
)plied Io S1. Lucie County for a Final Development Permit. In
Develop Permit, BP Number , I acknowledge
he aboveescnbed property, and in accordance with Section
County !Land Development Code, I shall be responsible for assuring
that the' immediate community WILL NOT be adversely affected.
;e that in granting this permit for the development of this property,
neither obliged nor liable to provide for, or maintain in any form,
>ff my property which will not adversely affect the immediate
Property Owner Name (Please Ph
Property Owner Signat6re
STATE OF FLORMA, COI i +1TYOF
ACKNOWLEDGED BEFORE ME THIS
BY
PRODUCED
SIGNATURE OF NOTAY PUBLIC
SLCPDSD Revised 04/11/2011
DAY OF
WHO IS PERSONALLY KNOWN TO ME OR WHO HAS
IDENTIFICATION.
TYPE ORPRINf NOTARY
(SEAL)
, DAMES ROUAN
= MY COMMISSION # GG 008627
z� EXPIRES Navember4,2020
o.
�•',;tio�I� o;:' Bonded?fw Notary Public Undervrtiters