HomeMy WebLinkAboutFILLED LAND AFFIDAVITI
I
SCANNED
B PLANPT d dic (DEVELOPMENT -SERVICES DEPARTMENT
St h➢f;iP, Ci)Ui9 BUff DING & COD$ REGULATIONS DIVISION
2300 VIRGMA AVENUE
FORT PIERCE, FL34982-5652 RECEIVED
(772)462-1553 -
MAR 2 0 2018
FLLED LANDS AFMAVIST. Lucie County, Permitting
I, the undersigned, am the
�T> 34a 3 ¢-
(Parcel Id#/Legal descriptia
for which I have applied to
accepting this Final Developm
that as owner of the above
7.04.01(D), St. Lucie County L
adequate drainage so that the n
I further acknowledge that in
St. Lucie County is neither ob
adequate drainage off my prt
community
of the following described property,
-c<r�._cf
t. Lucie County for a Final Development Permit. In
nt Permit, BP Number , I acknowledge
described property, and in accordance with Section
ad Development Code, I shall be responsible for assuring
(mediate community WILL NOT be adversely affected.
anting this permit for the. development of this property,
ged nor liable to provide for, or maintain. in any farm,
perry which will not adversely affect the • immediate
e.Pro i O ei dame (Please Print)
opea� O i I Date
STATE OF FLORIDA, COUNTY OF J , —
ACKNOWLEDGED•BEFORE ME`TTHIS �a DAY OF - v O`er 20_\%L,
IS PERSONALLY KNOWN TO OR WHO HAS
PRODUCED
SIGNATURE OF NOTARY UBLTC
` Co 1 N`b I CONfl&S$ION•NUMBER
SLCPDSD Revised 09/24/20I0
AS IDENTIFICATION.
C7C--O(�Q%,,
OR
BAFRA GOODMAN
k MY CNAPISSION i FF 10241
EXPIRES: March 12, 2018
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