HomeMy WebLinkAboutFILLED LAND AFFIDAVITI
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building! & Code Regulations Division
12300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
1 (772) 462-1553
SCANNED
I, the undersigned, am
-/�- c. )
for which I have applied to
accepting this Final Developm
that as owner of the above
7.04.01(D), St. Lucie County L
adequate drainage so that the it
I further acknowledge that in t
St. Lucie County is neither ob
adequate drainage off my pr
community.
TL+ �C
.00erty Owner
Property Owner Signature
LAND AFFIDAVIT
nfthe following described property,
t. Lucie County for a Final Development Permit. In
nt Permit, BP Number , I acknowledge
described property, and in accordance with Section
ad Development Code, I shall be responsible for assuring
mediate community WILL NOT be adversely affected.
anting this permit for the development of this property,
ged nor liable to provide for, or maintain in any form,
perty which will not adversely affect the immediate
Date
i
I
STATE OF FLORIDA, COUNTY OF • L V a'G
I
I p
ACKNOWLEDGED BEFORE ME THIS I I DAY OF ✓� , 20 o
BY GLGIC.YI,OLJ J L WHO IS PERSONALLY KNOWN TO ME ([jjoOR WHO HAS
I
PRODUCED
i
i
51 ATURE OF NO ARY PUBLIC
C74 0-3-'1.3 oS COMMISSION NUMBER
SLCPDSD Revised 04/1112011
AS IDENTIFICATION.
LCU irk LP—
TYPE OR PRINT NOTARY
• �YoUB`, LARIN LEWIS
MY COMMISSION # GG 027305
e, EXPIRESt�r31,2020
y�PGC F ,�.`� Bonded Thru Notary Public Undelwritets
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