HomeMy WebLinkAboutFILLED LAND AFFIDAVITSCANNED
S PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building &:Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FI.34982-5652
(772) 462-1553
LAND AFFIDAVIT
I, the undersigned,.am the owns
(Parcel.I0/Legal description/Addr
for which I have applied to
accepting this Final Developrr,
that as owner of the above
7.04.01(D), St. Lucie County L
adequatedrainage so that the i.
I further acknowledge that in €
St. Lucie County is neither of
adequate drainage off my ' pr
community.
�A
Wopqrty OV4er Nanie (Please PrViiff
of the following described
RECEIVED
MAR 2 8 ?.018
44cie County, Permitting
Lucie County for .a Final. Development Permit.. In•
Permit, BP Number I acknowledge
scribed 'property, and in accordance with. Section
Development Code, I shall be responsible for assuring
ediate community .WILL NOT be adversely affected..
ting this permit for the development of this property,
d nor liable to provide for, ormaintain in anyform,
rty . which will not. adversely affect - the, immediate
4l LJ�`1A WW o$. vz 'LU f V.
Pr perty Own . Signature Date
STATE OF FLORIDA, COUNTY OF
ACK OWLEDGED BEFORE E THIS I DAY OF / -t If.�I 1 201v
BY6 lr i WHO IS PERSONALLY KNOWN TO ME L� OR WHO HAS
r'P DU ED AS IDENTIFICATION.
IGNATURE OF NOTARY PUBLIC TYPE OR PRINT NOTARY
COMMISSION NUMBER
i
SLCPDSD Revised 04/11/2011
FARARE RNANDEZ
MY COMMISSION #FF472419
_.',�;F�,�P;.•
EXPIRES October 28; 2018
(407) 390-0153
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