HomeMy WebLinkAboutFILLED LAND AFFIDAVITSCANNED
rg u 'dPLANNING & DEV1C
Building
Fc
I, the undersigned, am the owner
OPMENT SERVICES DEPARTMENT
Code Regulations Division
00 VIRGINIA AVENUE
'r PIERCE. FL 34982-5652
(772) 462-1553
LAND AFFIDAVIT
the following described property,
4425-703-0049-000-0 Lot44lRiverbend 3027 NW RADCLIFFE WAY
(Parcel Id#/L.egal description/Address)
for which I have applied to St.
accepting this Final Development
that as owner of the above de
7.04.01(D), St. Lucie County Land
adequate drainage so that the imm
I further acknowledge that in grar.
St. Lucie County is neither oblige
adequate drainage off my prope
community.
Scott Harala
Property Owner Name (Please Print)
Property Owner Signature
STATE OF FLORIDA, COUNTY OF Broward
ACKNOWLEDGED BEFORE ME THIS
BY Scott Harala
PRODUCED
�/r/
SIGNATURE OF NOTARY PUBLIC
66C,-82A ("I COMMISSION NUMBER
SLCPDSD Revised 04/11/201 1
.ucie County for a Final Development Permit. In
'ermit, BP Number , I acknowledge
cribed property, and in accordance with Section
)evelopment Code, I shall be responsible for assuring
diate community WILL NOT be adversely affected.
ing this permit for the development of this property,
I nor liable to provide for, or maintain in any form,
ty which will not adversely affect the immediate
_�
Date
t� DAY OF _0 �� � 20 1 7 ,
WHO IS PERSONALLY KNOWN TO ME ( ZI) OR WHO HAS
AS IDENTIFICATION.
TYPE OR PRINT NOTARY
(SEAL)
SIVAN SHACHAR
MY COMMISSION # GG082944
EXPIRES April 10, 2021