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Filled Land Affidavit
RECEIVED FEB ST.LUCM COUNTY BU"ING&ZONING ST. Lucie 2300 VIRGINIA AVENUE, © FORT PIERCE,FL.34982 5652 a . 772-462-1553 FIi,�L ID-LANDS- ,. _ _ _. _._ _._ al the owner of the fqllowing described property: (Tax ID/Ugd description/Addms) for which I have applied to St.Lucie County for a Frnal 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),SL Lucie County Land Development Code,I shall be responsible for assuring adequate drainage so that the immediate community WH L NOT be adversely affected. I further acknowledge that in granting this permit for the development of this property,SL 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. Property Owner Name Property Owner Signature Date STATE OF FLORIDA.COUNTY OF `�`'0 A OWrEDGID BEFORE ME THIS�DAY OF A` 20L2 g} �l GLI tiaG" wHo is PERSONAMY KNOWNTO ME OR WHO HAS PRODUCED L- - AS IDENTIFICATION. tdLya?k /I /6;V 'r � & SIGNATURE OFNOTARY TYPE OR PRINT NAME OF NOTARY �a / 3 b l W NOTARY PUBLIC Trli.E C011�,5S10N NUMBER (SEA t Vivienne A Finietter NOTARY PUBLIC _STATE OF FLORIDA Corrvn#GG133001 '�c Expires 8/11/2021 .i !"•'�,`„':jc`..SStiY,Ftp:.':�`� is '.. r�