HomeMy WebLinkAboutFILLED LAND AFFIDAVITSCANNED ! i
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIER FL 34982-5652
(772)462-1553
I DEC 2 6 2617
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
d A). DTI a Lal Ai)� i �Pire, �L
(Parcel
for which I have applied to St. Lucie
accepting this Final Development Perm:
that as owner of the above describe
7.04.01(D), St. Lucie County Land Devel
adequate drainage so that the immediate
I further acknowledge that in granting t]
St. Lucie County is neither obliged nor
adequate drainage off my property w
community.
Property
Print)
PERFAiTTING
St. Lucie County, FL
ounty for a Final Development Permit. In
BP Number , I acknowledge
property, and in accordance with Section
iment Code, I shall be responsible for assuring
►mmunity WILL NOT be adversely affected.
permit for the development of this property,
tble to provide for, or maintain in any form,
,h will not adversely affect the immediate
X17
EN P. STEWARTMOUGLIM
tary Public, State of Florida
Commission# FF 9f15045cornet. expires Feb. 25,2020
Date
STATE OF FLORIDA, COUNTY OF C (= c' e.,
ACKNOWLEDGED BEFORE f E THIS t/ DAY OF 6e— 20
BY £ `�-"S� '��lFi WHO IS PERSONALLY KNOWN TOME L—j OR WHO HAS
§93NXXZPF NfOTARY. PUBLIC
- S o �-COMMISSION NUMBER
SLCPDSD Revised 04/11/2011
l%`eA- �ICP. AS IDENTIFICATION.
TYPE OR PRINT NOTARY
I
(SEAL)
i p HELEN P. STEWART-DOUGLAO
Notary Public, State of Florida
$ commission# FF 965045
{ My comet. expires Feb. 25, 2020