HomeMy WebLinkAboutFILLED LAND AFFIDAVIT/ 5;_0 7 ,'2_3 V /
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VULGRaA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
FILLED LAND AFFIDAVIT SCAMYSI)
St. Lu BY
cie County
I, the undersigned, am the owner of the following described property,
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(Pircel IdNALegal description/Address)
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number 007— 1) 3Y 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.
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Signature Ddte I
STATE OF FLORIDA, COUNTY OF MA441 N�
BEFORE ME THIS DAY OF
I
BY
PRODUCED
�'2_ 35qkMMISSION NUMBER
SLCPDSD Rmind 04/11/2011
, 20-jr
OR WHO HAS
-AS IDENTIFICATION.
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TYPE OR PRINT NOTARY
(SEAL)
CHAUSS
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P90-1c - Stateof Florida
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ummission # EE 223546
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PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FIL 34982-5652
(772) 462-1553 SGAN[veC)
FILLED LAND AFFIDAVIT St. LIJ By
"i" countl,
1, the undersigned, am the owner of the following described property,
-J�3 - 0oo I - 000
IMALegal
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, 9P Number 1"o —63YI1 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 WELL 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.
�d, �A)SO rJ Sh
Own?er Name (Please Print)
Ddte I
STATE OF FLORIDA, COUNTY OF ) N�
ACKIjPWLEDGED BEFORE ME THIS DAY OF 20,t,�
BY OR WHO HAS
PRODUCED AS IDENTIFICATION.
C44e
SIGNATURE OF NOTARY PUBLIC TYPE OR PRINT NOTARY
'6 2 546MMISSION NUMBER
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(SEAL)
CHAUSS
A,
OuDou - State -of Florida
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SLCPDSD Rwised 04/1 V2011 N.
ufl,fn Fxpires&EC3,2016
IN
..... W' donded
mmiss,on # EE 223546
Through National Notary fdon.