HomeMy WebLinkAboutAFFIDAVIT FOR RELIGIOUS FACILITYAFFIDAVIT ! FOR' 'RELIGIOUS" FAC TY
-- -STATE OF FLORIDA
COUNTY OF ST. LUCIE
BEFORE ME, the undersigned authority, personally appeared
who be duly sworn deposes and says:
1. Affiant is �p �„v•-T
2. As a representative and agent of Vie - LC_
�, I
Gi�`r l l ►�'C,, t '
he says that VebCc_ jL&L.'TuA_"3-� �Je��T`7 �� c•
will not presently house a school or day care facility, and
that, if at some point . in the future' the V�� LC C�_�k_:T
3O Gt -d-( i , live, 'should decide to house a school or
day care facility, the' lV Et> cc ��+—?%� �� c,Gt�"�`i , lNct
will voluntarily pay a,road impact fee appropriate for that
use, according to the most current Road Impact Fee Ordinance
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fee schedule.
3. Affiant understands that St. Lucie County is relying on the
statements made in the; Affidavit inFdetermining whether to
issue a building permit without payment of a road impact fee.
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STATE OF' FLORIDA, COUNTY OF -;",
The foregoring-instrument was acknowledged (before me this 2_0- day
of , t2j_!D', by �( S�A� ��im-rWokwho is personally
.known to me or who has produced as identification.
I
Signtature of Notary Type of.. Print Name of Notary
Notary Public Title Commission Number
(seal)
A Debra $Hun
My CommissionDD1a2920
M F Expires February 10, 2W7