HomeMy WebLinkAboutFILLED LAND AFFIDAVITD.muSign Envelope ID: E2E1A9D1-3E65-4427-9% '`,Wl A1SBCO2FF
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division SCANNED
2300 VIRGINIA AVENUE BY
FORT PIERCE. FL 34982-5652 St. Lucie Count
(772) 462-1553 y
FILLED LAND AFFIDAVIT
11 the undersigned, am the owner of the following described property,
INDIAN RIVER ESTATES - BLOCK 5/LOT 38 3402-606-0036-000-4
(Parcel Id#/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 . 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.
DONNA HOWLAND
6aawaFr Name (Please Print)
Prop°diV er ignature
STATE OF FLORIDA, COUNTY OF -'S� O�
2/28/2019
Date
ACKNOWLEDGED BEFORE ME THIS 1 L DAY OF �V +'� 20 13
BY100PIA `kOA'Pa c WHO IS PERSONALLY KNOWN TO ME (El OR WHO HAS
PRODUCED AS IDENTIFICATION.
R :NOTARY
SIGNA • RE O TARY PUBLIC TYPE OR P
G O6 0722 COMMISSION NUMBER
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p,,.—..A/ WCOAIABSSIONOGG060722
yl�le E%PIRES:Janwr30,2021
��5'F of, 0onded INN Budget Ndary Seni n
SLCPDSD Rn�ised 04/112011
DocuSign Envelope ID:E2E1A9D1-3E65-4427-9` '.fl A18BCO2FF
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE. FL 34982-5652
(772) 462-1553
FILLED LAND AFFIDAVIT St
I, the undersigned, am the owner of the following described property,
SCANNED
BY
Lucie County
INDIAN RIVER ESTATES -BLOCK 5/LOT 38 3402-606-0036-000-4
(Parcel Idli/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 , 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.
BRETT HOWLAND
PwB&Mj,Qjjypr Name (Please Print)
I( 1Mro S afore
STATE OF FLORIDA, COUNTY OF I
2/28/2019
Date
ACKNOWLEDGED BEFORE ME THIS 2— DAY OFF 20—Lq---
BY��/-xVj � 0 tQ A P LO WHO IS PERSONALLY KNOW4T ME (J^:1) OR WHO HAS
AS IDENTIFICATION.
(VIN o a-p �i n,L o
TYPE OR PRINT NOTARY
GX10b 22.2 COMMISSION NUMBER
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�� �� * MY COMMMIGG06070EAL)
E)SPSS:UMMY30,2021
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SLCPDSD Revised 04/1112011