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HomeMy WebLinkAboutFilled Land Affidavit ST. LUCIE COUNTY BUILDING &ZONING 2300 VIRGINIA AVENUE ® FORT PIERCE,FL.34982-5652 MAY 0 5 2017 © . s 772462-1553 TING Lucie County, FL -FILLED-LA"S AFFIDA I,the undersigned, am!'t f the folio g de ribed property: 1211 /— ax ID gal descnption/Address) for which I have applied to St.Lucie County for a Final Development Permit. III 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 mer 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. r Property Owner Name 0operty Owner Signature Date STATE OF FLORIDA,COUNTY OF ,4* U3 Q)�Ej ACKNOWLEDGED BEFORE ME THIS DAY OF y � _ 201- BY�16A —O WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED AS IDENTIFICATION. SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY (SEAL) NOTARY PUBLIC TITLE ffi (037 COMMISSION NUMBER `p1 PY100JJ KAREN S. NIELSEN Commission# FF 115637 My Commission Expirc;s Juno 12, 2018 OF i �1J111111"