HomeMy WebLinkAboutFILLED LAND AFFIDAVIT1 'I
I
SCANNED
FRECEIVED
APR 12 2018
PLANNING &
& Code Regulations Division
2300 VIRGINIA AVENUE
1RT PIERCE, FL 34982-5652
(772) 462-1553
LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
(Parcel Id#/Legal description/Address)
for which I have applied to St. Luc
accepting this Final Development Pei
that as owner of the above descril
7.04.01(D), St. Lucie County Land Dei
adequate drainage so that the immedia
I further acknowledge that in granting
St. Lucie County is neither obliged n4
adequate drainage off my property
community.
3�9tM/ /rt/f ov"A�4
Property Owner Name (Please Print)
County for a Final Development Permit. In
t, BP Number , I acknowledge
i property, and in accordance with Section
opment Code, I shall be responsible for assuring
community WILL NOT be adversely affected.
,is permit for the development of this property,
liable to provide for, or maintain in any form,
rich will not adversely affect the immediate
12,161
Signature Date
STATE OF FLORIDA, COUNTY OFG lit
ACKNOWLEDGED BEFORE ME THIS l s DAYI OF LJ� ��m� 1�� 20 1 `
BY �S\,n MO rO �� - WHO IS PERSONALLY KNOWN TO ME ( OR WHO HAS
PRODUCED V ✓ L— I AS IDENTIFICATI(
� ) a a -A
SIGNATbTdI OF NOTARY PUBLIC
`J ( 1`1 ` eMMISSION NUMBER
SLCPDSD Revised 04/11/2011
(�6�jmi +' Pa
TYPE OR PRMT NOTARY
Y
ppuu.p,
,•`to�Ppv °&a� CHERYL A MARLAND
IS Notary Public - State of Florida
.c Commission # FF 956472
%;qF F�qP�� My Comm. Expires Apr 6, 2020