HomeMy WebLinkAboutFILLED LAND AFFIDAVITI
r SCANNED I
By
St Lucie County
4 PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building &-Code Regulations Division
• - 2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 4624553 i
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FILLED LAND AFFIDAVIT
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I; the undersigned, am the owner. of the fl llowing.described property,
2308-13170000-300-7 .LEGAL:.(4035-2393) 372 CYCLONE DRIVE, FORT:PIERCE, FL.'
(Parcel Id#/Legal description/Address) . -
for which I. have applied to St. Lucie
accepting this Final Development Perm
that as owner of the above describe
7.04.01(D), St., Lucie County Land Deve;
adequatedrainage. so that the immediate
I further acknowledge -that in granting tl
St. Lucie County is neither obliged nor
adequate drainage off my property w
community.
ounty for a 'Final Development Permit. In
BP Number, ; I acknowledge
property, acid in accordance with ' Section
ment Code, 1'.shall- be responsible for assuring
immunity WILL NOT be adversely affected.
permit for the development of this property;
lble to provide for,.. or maintain in any form,
;h will not Adversely affect the immediate
Property Owner Name (Please Print) I
Property Owner Signature
STATE OF FLORIDA, COUNTY OF
ACKNCjWLEDGED BEFORE E TIES DAY
BY ( WHO IS R
SLCPDSD Revised 0.4/I 1/20.11
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Date '
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tSONALLY KNOWN TO ME U OR WHO HAS
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YPEO.R PRINT POTARYI
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FARA.&MIRNANDEZ
MY. COMMISSION #FF172419
OF 1�a p EXPIRES October 28. 2018
(407)j39"153. FloridallotaryService.com
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