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HomeMy WebLinkAboutFilled Land Affidavit allmilmmilmilm PLANNING&DEVELOPMENT SERVICES DEPARTMENT COUNTY `: Building&Code Regulations Division FLORIDA - 2300 VIRGINIA AVENUE 'kF FORT PIERCE,FL 34982-5652 , yj) cFlL (772)462-1553 b F© 5`A��k;,) ��1 Qo O FILLED LAND AFFIDAVIT %so�d7N 9 I,the undersigned, am the owner of the following described property, Liao - Eta- o oo►-o OD- 8 [3 .05 crx fr7 &VD (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 , 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. MQ c.6 (2)eexG v�sZ S Property Owner Name(Please Print) M( -C-Q aticc:� a enet y -\, 1(s��173 PropertyOwner Signa a J Date STATE OF FLORIDA,COUNTY OF SA--LlAf,(A? ACKNOWLEDGED BEFORE ME THIS (p DAY OF %s ,20 o BY WHO IS PERSONALLY KNOWN TO ME(Er&OR WHO HAS PRODUCED D L AS IDENTIFICATION. L�C.0 Q �� �'�.0 F J(pr Vct(Agin SIGNATURE OIitQ(}YARPRINT'P IC TYPE OR PRNOTARY COMMISSION NUMBER (SEAL) ELLEN VAUGHN �`,ppY PUB� o �.State of Florida-Notary Public SLCPDSDRevised04/11/2011 ='� '= Commission #GG 270079 9, ntil i°"`QP? My Commission Expires EOF `\ October 22, 2022 '� n