HomeMy WebLinkAboutFILLED LAND AFFIDAVITI
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PLANNING & DEVELOPMENT SERVICES DEPARTMENOLLUde,00
Building & Clode Regulations Division
2300 UIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
3215-801-0028-000-0 Aero Acres Block 1, Lot 21 18503 Mach One Drive
(Parcel Id#/Legal description/Address)
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development P�rinit, 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 fiuther 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 which will not adversely affect the immediate
community.
roperty Owner Nalne (Please Print)
Signature Date
STATE OF FLORIDA, COUNTY OF ,J j.
ACKNOWLEDGED BEFORE
EEjME THIS
.i DAY OF AWWC2�1 2019,
BY V ` K
� WHO IS PERSONALLY KNOWN TO MJiO ) OR WHO HAS
PROD ED
I AS IDENTIFICATION.
4ATURE/OF
OTA Y UBL
I TYPE OR PRINT NOTARY
COMMISSION NUMBER
A. PRIEST
:pOGER
,•4,11',�.,, NotstiP -State of floods
,L M GG 010740
Commission 0
_ 0 Nov 7, 20$
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SLCPDSD Revised 04/11/2011
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