HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
,:> _ Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652 RECEIVED
(772)462-1553
SC N EA MAR 2 �,2018
FILLED LAND AFFIDAVIT ST Lucie county, Permitting
I, the undersigned, am the owner of the following described property,
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(Parcel Id#/Legal description/Address) T[ xq i&M ujA-TG1L1 Lo"T 3 I V X 3
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, 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 further 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 property which will not adversely affect the immediate
community.
I
MARRY ANA)
Property Name (Please Print)
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Pr eriyeOwner i tore Date
STATE OF FLORIDA, COUNTY OF S� LU U -Z
ACKNOWLEDGED BEFORE ME THIS % DAY OF F-C.Lj n LO nI 20_La_
BY M G-V-4 {-Vey'
ARY PUBLIC
WHO IS PERSONALLY KNOWN TO ME (_) OR WHO HAS
TYPE OR PRINT NOTARY
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NUMBER
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My 6SARWMSION #VAN `GGG00930 0
. EXPIRES: June 11,2021
®ondod ?hru Notary Public Underwriters
SLCPDSD Revised 04/11/2011