HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING &
I, the undersigned, am the
SCANNED
"ELOPMENT SERVICES DEPARTMENT BY
.g & Code Regulations Division St Lucie Couny/
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
LAND' AFFIDAVIT
of the following described property,
3424-800-0096-000-6 / 36116 Red Tailed Hawk Drive
(Parcel Id#/Legal
for which I have applied
accepting this Final Deve;
that as owner of the al
7.04.01(D), St. Lucie Cour
adequate drainage so that
I further acknowledge thal
St. Lucie County is neithf
adequate drainage off m
community.
Owner Name (Please
�o St. Lucie County for a Final Development Permit. In
Pment Permit, BP Number , I acknowledge
we described property, and in accordance with Section
y Land Development Code, I shall be responsible for assuring
1e immediate community WILL NOT be adversely affected.
in granting this permit for the development of this property,
obliged nor liable to provide for, or maintain in any form,
property which will not adversely affect the immediate
,3 // eo l B
Date(
STATE OF FLORIDA., COUNTY OF Tl d 1 A )O� 9 1 VIP r
ACKNOWLEDGED BEFORE MEJ HIS �l0 DAY OF A rCA 20 I n
BY 2 WHO IS P ONALLY KNOWN T U OR WHO HAS
i
PRODUCED
SIGNATUjtE OF NOT
GC'8 �r6
SLCPDSD Revised 04/11/2011
NUMBER
AS IDENTIFICATION.
Mar�RrL f SGh�%� �ey'
TYPE OR PFdNT NOTARY
(SEAL)
e, p%- MANAR 1 SCHAEFER
MY COMMISSION # GGS8886
�+iF� EXPIRES: March 30, 2021