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PLANNING &DEVELOPMENT SERVICES DEPARTMENT
Building& Code Regulations Division
•
2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652
(772)462-1553 RECEIVED
FILLED LAND AFFIDAVIT 'ILIJIL 19 2018
. ST. Lucie County, Permittitl .
I,the undersigned, am the owner of the.following described property,
\31-:L.- -u I - 6 vas-oao .�
(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 AAtl-L"%Sa, , 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, drain_age off my .property_.which will not adversely affect the immediate
community.
Property Owne a int)
Propertyer nature Date
STATE OF FLORIDA,COUNTY OF 1/1 '`l•,.i
ACKNOWLEDGED BEFO ME THIS DAY OF
BY �G��"f' WHO IS PERSONALLY KNOWN TO MOOR WHO HAS
—��
PRODUCED AS IDENTIFICATION.
/4AZ—O NOT UBLIC TYP OR PRINT NOT
MMISSION NUMBER
(SEAL)
SLCPDSD Revised 04/11/201 I o�ryx���
MARIA COLIN
MY COMMISSION#GG019569
EXPIRES:AUG 09,2020
°� Bonded through let State Insurance