HomeMy WebLinkAboutFILLED LAND AFFIDAVITI'
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PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553 RECEIVED
SCANNED
BY FILLED LAND AFFIDAVI APR 2 S( 0 g 8
�t -Lucie County
ST. Lucie County, Permitting
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I, the undersigned, am the owner of the following described property,
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Z222 - Z 1l - 0001 - ooa - 3
(Parcel Id#/Legal description/Address)
for which I have applied to St. ,Lucie County for a Final Development Permit. In
accepting this Final Developments Permit, BP Number 110- 6'1'9 1 - I acknowledge
that as owner of the above described property, and in accordance with Section
7.04.01(D), St. Lucie County Land Development Code, I shall be responsible for assuring
adequate drainage so that the immediate community WILL NOT be adversely affected.
I further acknowledge that in granting this permit for the development of this property,
St. Lucie County is neither obliged nor liable to provide for, or maintain in any form,
adequate drainage off my property which will not adversely affect the immediate
community.
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Property " er Na (Plea P ' )
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roperly Owner Ignature Dat
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFORE ME THIS DAY OF U/L�—Q 20 /
BY pZ=a, P �A4/E'i- WHO IS PERSONALLY KNOWN TO ME `!M OR WHO HAS
SIGNA'FLU0-OF NOTAff7 RMLIC
Qa�10 j 012Z COMMISSION NUMBER
SLCPDSD Revised 04/11/2011
AS'IDENTIFICATION.
MR q 2a m- 0
TYPE Olk PRINT NOTARY
( tOY3Pug,- MAYRASIMO
4.k+* MY COMMISSION # GG 060722
N, c� EXPIRES: January 30, 2021
S't OF W04F Bonded Tft gu*t Notary Services