HomeMy WebLinkAboutFILLED LAND AFFIDAVITSCANNED
BY
S4 Lucie County
FILLED
I, the undersigned, am the owner
(Tax
for which I have applied to St. Lul
this Final Development Permit, B
the above described property, and
Land Development Code, I shall
immediate community WILL NI
granting this permit for the develo
nor liable to provide for, or maint
will not adversely affect the imml
UITG- A0 A i-OA3 (,(.0
Property Owner Name
STATE OF FLORIDA, COUNTY OF
ST. LUCIE COUNTY
BUILDING & ZONING
2300 VIRGINIA AVENUE
FORT PIERCE, FL.34982-5652
772-462-1553
S AFFIDAVIT
the following described property:
description/Address)
County for a Final Development Permit. In accepting
Number I acknowledge that as owner of
I accordance with Section 7.04.01(D), St. Lucie County
responsible for assuring adequate drainage so that the
F be adversely affected. I further acknowledge that in
rent of this property, St. Lucie County is neither obliged
n in any form, adequate drainage off my property which
Bate community.
y (Y
/4 a'7L
Property Owner Signature Date
ACKNOWLEDGED BEFORE ME THIS DAY OF 201�
BY
Y r i l L] Jl WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
U►i 1 1�{;f S 1 G�il'�— AS IDENTIFICATION.
SIGNATURE O O ARY TYPE OR PRINT NAME OF NOTARY
I
NOTARY PUBLIC TITLE COMMISSION NUMBER (SEAL)
;.w-' AUDREY WILLMOT
y, `= MY COMMISSION # DD973168
EXPIRES March 21, 2014
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