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FILLED LAND AFFIDAVIT
SCANNED BY TIIrca_ COUNTY �: ' F L O R I D R I, the undersigned, am the At 2Z6- (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 thel I further acknowledge that in St. Lucie County is neither c adequate drainage off my community. Owner.Natne (Please STATE OF FLORIDA, COUNTY `ELOPMENT SERVICES DEPARTMENT Ig & Code Regulations Division 2300 VIRGINIA AVENUE FORT PIERCE, FL 34982-5652 (772)462-1553 LAND AFFIDAVIT of the following described property, 3 RECEIVED MAY 10 2018 ST. Lucie County, Permitting St. Lucie County for a Final Development Permit. In vent Permit, BP Number , I acknowledge described property, and in accordance with Section ,and Development Code, I shall be responsible for assuring immediate community WILL NOT be adversely affected. granting this permit for the development of this property, bliged nor liable to provide for, or maintain in any form, roperty which will not adversely affect the immediate \ © s� 201'3 Date BEFORE ME THI i .. ////��,, DAY OF mo y , 20&-- �/�Lys✓ NiF_ , WHO IS PERSONALLY KNOWN TO ME (0 OR WHO HAS PRODUCED SIGNA O PUBLIC COMMISSION i SLCPDSD Revised 04/11/201 I TYPE OR PRINT NOT. KAREN S. NIELSEW °<6SState of Florida -Notary Publi •2 Commission.# GG 207484 "Foi ;`off°cam My Corr mission Expires June 12, 2022 AS IDENTIFICATION.