HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELO.
Building & C
. 2300
_ 7T18
6� �WLUFORT ]
j U N 0 i Pih�P�FILLED
ST. Lucie County_ lt'1''2
I, the undersigned, am the owner of the
'NT SERVICES DEPARTMENT
Regulations Division
INIA AVENUE
E, FL 34982-5652
462-1553
AFFIDAVIT
described property,
1334-502-0015-000-8 / Monte Carlo Country Club -Unit Two -Lot 98 / 2701 Bent Pine Drive
(Parcel Id#/Legal description/Address)
for which I have applied to St. Lucie
accepting this Final Development Permit;
that as owner of the above described
7.04.01(D), St. Lucie County Land Develo
adequate drainage so that the immediate c
I further acknowledge that in granting thi
St. Lucie County is neither obliged nor l
adequate drainage off my property whi
community.
Property O Name (Please Print)
Owner
STATE OF FLORIDA, COUNTY OF V%_\LViV—
ACKNOWLEDQED BEFOREjr TH S ` v _ DA
BY 1)Qx r a- A io IS
ounty for a Final Development Permit. In
BP Number , I acknowledge
property, and in accordance with Section
iment Code, I shall be responsible for assuring
immunity WILL NOT be adversely affected.
permit for the development of this property,
lble to provide for, or maintain in any form,
:h will not adversely affect the immediate
-q?-1 R
Date
LAW
OF 04d, 20 I ,
RS NALLY KNOWN TOME OR WHO HAS
AS IDNTIFICATI
NOTARY PUBLIC TYPE OR PRINT NOTARY
COMMISSION NUMBER
(SEAL)
1.2; �,� Nonrypubiic-S:a:eo` Vda
' P Commisslo^ = CG 13e»7
SL I7 �� r ed 0� ��2(�l o"e, Sep 11, 2021