HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPl IENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
I 1 fi01�.U"I 411
SCANNED
ev
S4 Lucie cou Aft"y
I, the undersigned, am the owner
3410-602-0011-000-6 WHITE CITY
(Parcel Id#/Legal description/Address)
for which I have applied to St.
accepting this Final Development
that as owner of the above de
7.04.01(D), St. Lucie County Land
adequate drainage so that the imm
I further acknowledge that in gran
St. Lucie County is neither oblige
adequate drainage off my prope
community.
Patricia E Carter
Owner Name (Please Print)
following described property,
RECEIVED
FEB- 21 2018
Permitting Department
St. Lucie County
BLK B LOTS 5,6,7 AND 8 5610 Smith Ln
Icie County for a Final Development Permit. In
�rmit, BP Number , I acknowledge
ribed property, and in accordance with Section
evelopment Code, I shall be responsible for assuring
iate community WILL NOT be adversely affected.
Ig this permit for the development of this property,
nor liable to provide for, or maintain in any form,
which will not adversely affect the immediate
1. =S'M�
STATE OF FLORIDA, COUNTY 0 -k -, I /(��(s S
ACKNOWLEDGED BEFORE
ME THIS V DAY OF 20 ,
BY C I WHO IS PERSONALLY KNOWN TO OR WHO HAS
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PR UCED i
SI II VtPf OR P , O/TARY _
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/O COMMISSIONNUMBER
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SLCPDSD Revised 04/11/2011 I
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AS IDENTIFICATION.
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,�R DANYEL JONES
s,:
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