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HomeMy WebLinkAboutFILLED LAND AFFIDAVITSCANNED [BY PLANNING+ & E BUILDING & FILLED I;'the undersigned, am the owner i 653� -16" ' Z 107- MODEM L:RECEI:VED 2 g8�LOPMENT SERVICES DEPARTMrmitting DE REGULATIONS DIVISION 2300 VIRGINIA AVENUE )RT PIERCE, FL 34982-5652 (772) 462-1553 LANDS AFFIDAVIT the following described pro�erty, Let � A' n � 's ID 17s- less W So � 2a A I ��'e-e 1 3 (Parcel Id#/Legal description/Address) I 3 LI © 3- S p Z -- Q 1 J (a ~ U 0 n, 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 gray. St. Lucie County is neither oblige adequate drainage off my prope community. Property Owngr Name (Please Print) STATE OF FLORIDA, COUNTY OF ACKNOWLEDGED BEFORE ME T�HLSS COMMISSION NUMBER zie 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 Date DAY OF 20-LO-1 I IS PERSONALLY KNOWN TO MEa.OR WHO HAS / AS IDENTIFICATION. // &A1 9 AJ TYPE OR PRINT NOTARY (SEAL) v au SHERRI FEHL" Comff"w#GG187180 * * EVITeS March 14, 2022 ���dPE1.OPAe gondedThrusud9el►�Ysenkes SLCPDSD Revised 08/24/2010