HomeMy WebLinkAboutFILLED LAND AFFIDAVITSCANNED
PLANNING & DEVELOPMENT SERVICES DEPARTMEN BY
------- - -i S� Lucie County
Building & Code Regulations .Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
m (772) 462-1553 uq- T t%q
.:' DEC 2 9 2011 FILLED LAND AFFIDAVIT
......................
I, the undersigned, am the owner of the following described property,
4425-703-0010-000-8 LOT 5 RIVERBEND 3014 NW RADCLIFFE
(Parcel Id#/Legal description/Address)
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DEC 2 9 2011
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.
Scott Harala
Property Owner Name (Please Print)
Property caner Signature Date
STATE OF FLORIDA, COUNTY OF Broward
ACKNOWLEDGED BEFORE ME THIS �0�1 DAY OF 17
BY Scott Harala
PRODUCED
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SIGNATURE OF NOTARY PUBLIC
6668 z�q ,� 4 COMMISSION NUMBER
SLCPDSD Revised 04/11/2011
WHO IS PERSONALLY KNOWN TO ME (Z OR WHO HAS
AS IDENTIFICATION.
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TYPE OR PRINT NOTARY
(SEAL)
SIVAN SHACHAR
MY COMMISSION # GG082944
EXPIRES April 10, 2021