HomeMy WebLinkAboutFILLED LAND AFFIDAVIT- ' � "N �j 0 NJ
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FILLED
I, the undersigned, am the owffff
4 -31 —
(Tax I
ST. LUCIE COUNTY
BUILDING & ZONING
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
. 772-462-1553 '
�LA"SAFFIDAVIT
for which I have applied to St. Lu,
this Final Development Permit, B
the above described property, and
Land Development Code, I shall"
immediate community WILL N(
granting this permit for the develo
nor liable to provide for, or maint�
will not adversely affect the imm(
if the following described property:
00(��I— QtQA4
I/Legal description/AddAss)
- County for a Final Development Permit. In accepting
Number , I acknowledge that as owner of
I accordance with Section 7.04.01 (D), St. Lucie County
� responsible for assuring adequate drainage so that the
r be adversely affected. I further acknowledge that in
nent of this property, St. Lucie County is neither obliged
.1 in any form, adequate drainage off my property which
iate community.
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C� .7
Property Ow�a Name Property Qwlwr Signature Date
STATE OF FLORIDA, COUNTY OF 57—s L%.f�c-%
AC . KNOWLEDGED BEFORE ME THIS DAY OF 2o,-07
BY Vs� THO IS EE���"R WHO HAS PRODUCED
I
AS IDENTIFICATION.
TURE OF NOTARY
NOTARY PUBLIC TITLE
7ST y—,
TYPE OR PRINT NAME OF NOTARY
(SEAL)
COMMISSION NUMBER
GREGNt. 610MM1JNhS
V P 9;'111
,-4'- -','-,.'�,�NotaryPubUo-SfateofFloricla
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OF Commission # DD256165
Bonded By National NotW ftn.
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