HomeMy WebLinkAboutFILLED LAND AFFIDAVITI
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
�+ �g (772)462-1553
SCANNED �
BY FILLED LAND AFFIDAVIT
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I, the undersigned, am the owner of
1g41-0o'0001-000-0 1 f✓�on I�ti �uj
(Parcel Id#/Legal description/Address)
following described property,
640,4 C 0 O-Z-1) t,ory
3qo i4&&picz by.4
gatalll'oo 14,mcl
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for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number , I acknowledge
that as owner of the above described property, and in accordance with Section
7.04.01(D), St. Lucie County Land Del�elopment Code, I shall be responsible for assuring
adequate drainage so that the immediate community WILL NOT be adversely affected.
I further acknowledge that in grantini this permit for the development of this property,
St. Lucie County is neither obliged or liable to provide for, or maintain in any form,
adequate drainage off my property which will not adversely affect the immediate
community.
Property Owner Name (Please
Puopert3+ ,wngr-
,,Signatw e
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Date
STATE OF FLORIDA, COUNTY OF f/L JT'(mil' l
I 9
I L
ACKNOWLEDGED BEFORE ME THIS L-�
DAY OF 20
BY
W110 IS PERSON KNOWN TO ME OR WHO HAS
PROD CED AS IDENTIFICATION.
SIGNATURE` F OT Y PUBLIC
G&D-1 2000MMISSION NUMBER
TYPE OR PRINT TARY
4;ji'v'i�'•.,, NANCRWATHIER
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; Notary Public - State of Florida
• Commission N GG 075320
My Comm. Expires Feb 21, 2021
°F••' Bonded through National NotaryAssn.
SLCPDSD Revised 04/11/2011