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PLANNING&DEVELOPMENT SERVICES DEPARTMENT
Building&Code Regulations Division RECEIVEL
2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652
(772)462-1553
permitting Department
St. Lucie Countv
FILLED LAND AFFIDAVIT
I,the undersigned,am the owner of the following described property,
1,3 /2- 3In10o0Soo os J-fe)g6'�- a/ ,
(Pared I&ILeget description/Address) )09y pz?.� FG
for which I have applied to St. Lucie County for a Final Development Permit. In
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 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.
Pr wrier Name(Pleas Print)
Pr erty weer Si aturc I)atc
STATE OF FLORIDA,COUNTY OF
ACKNOWLEDGED BEFORE METTFIIS /f/ DAY OF
BYWHO IS PERSONALLY KNOWN TO ME( )OR WHO HAS
PRODUCED AS IDENTIFICATION.
y 10—r.
SIGNATURE OF NOTARY PUBLIC TY ORP 7 NOTARY
COMMISSION NUMBER
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