HomeMy WebLinkAboutFILLED LAND AFFIDAVITti
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGH41A AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
SCANNED FILLED LAND AFFIDAVIT
BY
St. Lucie County
I, the undersigned, am the owner of the following described property,
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TRA-c r A y4-4 r o f r-1 Tel?/-^) T oa K SS
(ParcelIM/Legaldescription/Address)
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for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number. fgbq— , 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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Property O�r11er Name (Please Print)
Propet,Owner Si a Dat
STATE OF FLORIDA, COUNTY OF -125rtV C1.1 d
ACKNOWLEDGED BEFORE ME THIS ara DAY OF 4, 1 20 1 q
BY SUSr 1 N O .V-Q WHO IS PERSONALLY KNOWN TONE (El OR WHO HAS
PRODUCED Ft_Ccido- -6rjyex S- -10- IVL endmgQ - 040S OAS IDENTIFICATION.
SIG�TUREO ARY PUBLIC
Acl t-1q 2 tH COMMISSION NUMBER
SLCPDSD Revised 04/112011
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2 TYPE OR;RINT NOTARY
(SEAL)
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ULYAJAICATEE
Hatary Public - State of R060a
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Commission R GG 179214
'•' My Comm. Ex0es May 5. 2022
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