HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING &
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R E C E I'.' .0 MAR 3 2016
DEVELOPMENT SERVICES DEPARTMENT
�ilding & Code Regulations Division
2300 VIRGINIA AVENUE
FORVPIERCE, FL 34982-5652
(772)462-1553
SCANNED FILLED LAND AFFIDAVIT
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St Lucie County
I, the undersigned, am the gwrier of the following described property,
(Parcel Id#/Legal-description/ ddress)=
for which I have applied to St. -Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number V4i%G-a1A41 ; I acknowledge J _
that as owner of the above- describedproperty, and in accordance with Section
7.04.01(D), St. Lucie County Land Development Code, I shall be responsible -for assuring
adequate drainage so that.1he immediate. further community_ WILL NOT be adversely affected.
I her acknowledge tha m granting this permit for the development of this property,
St. Lucie County is neither, obliged nor liable to provide for,- or -maintain -in -any form, — -- - --
adequate drainage off mIy -property which will not adversely_ affect the immediate_
community. - - --
Arian for I1
Property Owner NaMe (Please
l7
Owner
STATE OF•F1, COUNTY OF.
ACKNOWLEDGED BEFORE MEETII
BY &1���tl I]LJ—1
PRODUCED _
Al
ATURE OF NOTARY PUBLD
COMMISSION
SLCPDSD Revised 04/11/2011
Date
L_Z
st DAY OF Y 1 - - -, 20� %�,
WHO IS PERSONALLY KNOWN TO ME OR WHO HAS -
AS IDENTIFICATION.
� ►� �S-� i � L UI►�i (.sari - - - . --. _ - - -
TYPE OR PRINT NOTARY-
IUMBER
KRISTIN L MLSO -
- ---- - - — {(NARY PUBLIC--------.-
__ _ ROGKDALE COUNTY
STATE OF GEORGIA
My Commission Expir®s August 16.2019