HomeMy WebLinkAboutFILLED LAND AFFIDAVITSCANNW
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building) & Code Regulations Division
• 12300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
.. rnGT\ /Grl1 (772) 462-1553
APR 19 Z018 FILLED LAND AFFIDAVIT
ST. Lucie County, Pe►r�lttin9 j
I, the undersigned, am the owner of the following described property,
1408-701-0033-000-7
(Parcel Id#/Legal description/
for which I have applied to St
accepting this Final Developmel
that as owner of the above
7.04.01(D), St. Lucie County Lar
adequate drainage so that the im:
I further acknowledge that in gr;
St. Lucie County is neither obli;
adequate drainage off my prol
community.
Tony E Doran
Property Owner r
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, or maintain in any form,
rty which will not adversely affect the immediate
1-Ngitally signed by, Tony E Doran
Tony E Doran ! Date: 2018.02.20 r 4:44:24 -05'00'
Property Owner Signature
STATE OF FLORIDA, COUNTY OF St. LuCi
ACKNOWLEDGED BEFORE ME THIS
Q2b COMMISSION NUMBER
SLCPDSD Revised 04/11/2011
2/20/2018
Date
DAY OF 20,
WHO IS PERSONALLY KNOWN TO 1E (_a OR WHO HAS
AS IDENTIFICATION.
TYPE ORTRINT NOTARY
(SEAL)
,•,:o,�►�..p�e�•.,,
ANNEMARIE SINGER-.
Notary Public - State of Florida.
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3 N •:
Commission #r GG 085884
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My. Comm: Expires Mar 22, 2021