HomeMy WebLinkAboutFILLED LAND AFFIDAVITSCANN �a
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PLANNING & DE LSO, MET SERVICES DEPARTMENT .
- Building &:Code :Regulations Division
2300.VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652 .
.(772) 402-1553 RECEIVED
FILLED, LAND AFFIDAVIT MAR 218 r Q l$
ST.. Lucie County, Permitting
I; the undersigned,. am the owner. f the following.described property,,
2326-600=0096=000-8 'CREEKSIDE PLAT 1 LOT 91 8557.COBBLESTONE DR-, FORT PIERCE, FL'
(Parcel.I0 Legal description/Address)
for which I have applied to St-. Lucie County for a Final Development Permit. In
accepting this Final Developmen 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 gra7ting 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:
Property Owner Name'(Please:Print) I.
Prop ty Owner Signature Date
STATE.OF FLORIDA, COUNTY OF��' h-(i
ACKNOWLEDGED BEFORE ME THIS DAY OF � / � 6LrC4— 20 1
B WHO IS PERSONALLY KNOWN TO ME L� OR WHO HAS '
it
OD L AS IDENTIFICATION.
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SIGNAT E O N LARY PUBLIC TYPE OR PRINTNOTARY
COMMISSION UM R =:o�'"r'"a4:..FARA D.HERNANDEZ.-
MY COMj$�I,gN.#.FF172419
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`�oFr. EXPIRES October 28, 2018
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SLCPDSD Revised 04/11/2011 .
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