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HomeMy WebLinkAboutFilled Land Affidavit RECE1KAY 0 9 2017 PLANNING &DEVELOPMENT SERVICES DEPARTMENT Building&Code Regulations Division visie 2300 VIRGINIA AVENUE FORT PIERCE,FL 34982-5652 (772)462-1553 FILLED LAND AFFIDAVIT I, the undersigned, am the owner of the following described property, r y© got ©'46 Dao / ►- td I}/cat TO WI1-e c It�J (Parcel Id#JLegal description/Address) e-0lPj7� for which I have applied to St. Lucie County for a Final Development Permit. In accepting this Final Development Permit, BP Number , 1 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. _ M�. Property Owner ame(Plea a Pl 0 Prop Owner Signature DU _1 STATE OF FLORIDA,COUNTY OF ACKNOWL.EDOED 131 FOltF:METtIII,S ,a 1DAY OF ` 2o1"7 BY J b``ri�`� S �• �� '° � t-P AVHO IS PERSONALLY KNOWN TO ME( OR WHO HAS PRODUCED _ AS IDENTIFICATION. rii JUDITH A-SIR 11VAN S ATURE OF NOTARY TYWVT"Mjy Public-6ti+t®a1 fIMitia C0ti4MISSION NL.JMI3ER G�039605My Comm.Expires Oat 23,2020B hallwal Wvy Assn. SL.C.PDSD Revised 04/1112011