HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
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-Building& Code Regulations Division
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2300 VIRGINTAAVENUE
FORT PIERCE, FL 34982-5652 - ---
(772) 462-1553 SCgIV
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FILLED LAND AFFIDAVIT "CieCo �D
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I, the undersigned, am the owner of the following described property,
3321-801-0050-000-2/RESERVE PLANTATION PHASE 1 LOT 60/7921 PLANTATION LAKES DR, PORT ST LUCIE,',FL, 34986
IM/Legal description/Address)
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number l 'D1-00�tq , I acknowledge
that as owner of the above described property, 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 the immediate community WILL NOT be adversely affected.
I further acknowledge that in 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 my property which will not adversely affect the immediate
community.
I Property @ria[a a (Please Print)
Prope e ignature Dat
STATE OF FLORIDA, COUNTY OF U
BY
NUMBER
SLCPDSD Revised 04/11/2011
DAY OF L.1(i1 1 11..L 20�
I IS PERSONALLY KNOWN TO ME OR WHO HAS
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;iNr.a`e ANGELA B0R5gWfftjNGHAM
?° • A �. Notary Public. Ytatte of Florida
• t Commission 4 GG 249625
`'For r °p' My Comm. Expires Aug 16, 2022
Bonded through National Notary Assn.
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