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HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT Building & Code Regulations Division 1 2300 VIRGINIA AVENUE FORT PIERCE, FL 34982-5652 1 (772)462-1553 SC BY SCANNED St LudeCouft/ LAND AFFIDAVIT I, the undersigned, am the owner iof the following described property, Z 3o`t— 223—©ooi—oo0—(o J Q 3S 317 E /63.67 FT �Iw FOR aAAW AV 4Srhi PB 2-2-lb / ND L£55 W /V3.67 Fr op 5 ZSe (Parcel Id#/Legal for which I have applied to accepting this Final Developm that as owner of the above 7.04.01(D), St. Lucie County L adequate drainage so that the i I further acknowledge that in 1 St. Lucie County is neither ol; adequate drainage off my pr community. perty Owner Na a (P ease�Il1Piint) — l IFS Property Owner Signature STATE OF FLORIDA, COUNTY OF / Q l ACKNOWLEDGED BEFORE ME THIS BY z4 vI n e- N 0, l PRODUCED 1- L 17rtve, 5 I—,Ce SIGN TURF OF NOTARY PUBLIC COMMISSION NUMBER 0 F w% o f Af w %_ LESS F-r-S�0 44 Ac ) (-OP AID 97 n4p` I/710 0rgri)c� /- VC, a P1e.t ce;FL -?yTy-5 Lucie County for a Final Development Permit. In Permit, BP Number , I acknowledge !scribed property, and in accordance with Section Development Code, I shall be responsible for assuring ediate community WILL NOT be adversely affected. Ring this permit for the development of this property, ;d nor liable to provide for, or maintain in any form, rty which will not adversely affect the. immediate Date i Coup f-J _ DAY OF r P J- C ( , 20 / P - WHO IS PERSONALLY KNOWN TO ME (El OR WHO HAS e.6 b b y o V 9 7j -7 3/ o AS IDENTIFICATION. d err- F� M /Vl t i (e- v^ TYPE OR PRINT NOTARY (SEAL) I �CS�Y PU�^, '�ROBERTA M. MILLER NotaryPublic-5tateofFlorida _ • +' •.= Commission S GG 122530 My Comm. Expires Jul 9, 2021 Bcnd' d through National Notary Assn. SLCPDSD Revised 04/11/2011