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HomeMy WebLinkAboutFilled Land Affidavit PLANNING&DEVELOPMENT SERVICES DEPARTMENT Building&Code Regulations Division 2300 VIRGINIA AVENUE FORT PIERCE,FL 34982-5652 (772)462-1553 R E C IVO P FILLED LAND AFFIDAVIT 'JUN 2 0 2019 ST. Lucie County, Permitting I,the undersigned, am the owner of the following described property, Int 28'- 7©2- 1117. 000 2 (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 kjQ((,-0L43L, 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. Property weer Nam ( e e Pr t roperty Own r Sign tune Date STATE OF FLORIDA,COUNTY OF Gam(/ KNOWLEDGED(1BEFORf ME THIS QQ DAY OF �G 20—d_, BY(I , h _l010t-.L WHO IS PERSONALLY KNOWN TO ME(_�OR WHO HAS PRODUCED AS IDENTIFICATION. r SIGN URE O Y PUBLIC T E OR PRINT OTARY CO KAREN S. NIELSEN `1pPY P!/9�i <<;-State of Florida-Notary Public (SEAL) =* *_ Commission # GG 207484 =� P My Commission Expires V, June Jung T2, 2022 SLCPDSD Revised 04/11/2011