HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING &
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SCANNED
BY
St Lucie County
ELOPMENT SERVICES DEPARTMENT
.g & Code Regulations Division
2300 VIRGRSUA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
LAND AFFIDAVIT
I, the undersigned, am the ow 'er of the following described property,
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(Parcel Id#/Legal description/.
for which I have ' applied to
accepting this Final Developi
that as owner of the abov
7.04.01(D), St. Lucie County ]
adequate drainage so that the
I further acknowledge that in
St. Lucie County is neither a
adequate drainage off my I
community.
S N (q i (L.t L,
Property Owner Name (Please
Property Owner Signature
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFORE ME THIS _
BYkGS%1M1 r1 �- Rc}r
PRODUCED r- 110 r i d 94
SIGNATURE OF NOTARY PUBLIC
Irr� k9%5�RXOMMISSION I
SLCPDSD Revised 04/11/2011
t. Lucie County for a Final Development Permit. In
nt Permit, BP Number , I acknowledge
described property, and in accordance with Section
nd Development Code, I shall be responsible for assuring
unediate community WILL NOT be adversely affected.
-anting this permit for the development of this property,
iged nor liable to provide for, or maintain in any form,
perty which will not adversely affect the immediate
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Date
Lv Lt -e.
DAY OF M Q r Lk .20 I Z
WHO IS PERSONALLY KNOWN TO MECEI
OR WHO HAS
ersL%CAnSt AS IDENTIFICATION.
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TYPE OR PRINT NOTARY
(SEAL)
fit.. KARYN G DRAWOY
rye( COMMISSION # FF198558
EXPIRES FebMarY 11, 2019
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14C71398-0157
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