HomeMy WebLinkAboutFILLED LANFD AFFIDAVITSCANNED r r
s
St i_UCie County
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE RECEIVE®
FORT PIERCE, FL 34982-5652
(772) 462-1553 MAY ; 201e
Permitting De artment
FILLED LAND AFFIDAVIT §1: W616 ewlty
I, the undersigned, am the owner of the following described property,
3uZs-:103- 86
(Parcel Id#/Legal description/Address) j
for which I have applied to St.
accepting this Final Developmen
that as owner of the above d
7.04.01(D), St. Lucie County Lani
adequate drainage so that the imr,
I further acknowledge that in gra
St. Lucie County is neither oblig
adequate drainage off my prop
community.
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Lucie County for a Final Development Permit. In
Permit, BP Number 1905- 0059 , I acknowledge
:scribed property, and in , accordance with Section
Development Code, I shall be responsible for assuring
ediate community WILL NOT be adversely affected.
sting 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
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(Please Ppit1�)
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Property Ovfhdr/Signature Date
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STATE OF FLORIDA, COUNTY OFe& 4�
ACKNOWLEDGED BEFORE ME THIS DAY OF / "!G. , 2Q
BY \Lx r M',, C le OrA I WHO IS PERS_ ONAL� KNOWN TO ME (a OR WHO HAS
SYGNhKTURE OF 140TARY PUBLIC
A
COMMISSION NUMBER
SLCPDSD Revised 04/11/2011
AS IDENTIFICATION.
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TYPE OR PRINT NOTARY
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