HomeMy WebLinkAboutFILLED LAND AFFIDAVITSC INNER
�y
St Lucile County
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
5 Building & Code Regulations Division
2300 VIRGINIA AVENUE
F07PIERCE, FL 34982-5652
I (772)462-1553
I, the undersigned, am the owner
for which I have applied to
accepting this Final Developm
that as owner of the above
7.04.01(D), St. Lucie -County L
adequate drainage so that.the i.
I further . acknowledge that in -I
St. Lucie County is neither .oI
adequate drainage off my pr
community..
Property Owner Signature
STATE OF FLORIDA,.COUNTY OF
.ACKNOWLEDGED BEFORE ME THIS
BY
SLCPDSD Revised 04/11/2011
I
NUMBER
I
I
I
I
I
LAND AFFIDAVIT
the following described property,
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.
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
'�'d
Date
DAY OF /� 20 / � _ ,
WHO IS PERSONALLY KNOWN TO ME CE1 OR WHO HAS
AS IDENTIFICATION.
eS m,-,4ANiE LAAjQnTet�)
TYPE OR PRINT NOTARY
(SEAL)
ot►�Y��i�, STEPHANIELANGiSTON
* * MY COMMISSION # GG 075WII
c EXPIRES: March 4, 2021
Bonded Thru Budget Natuy Senn n