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HomeMy WebLinkAboutfilled lands affidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT Building & Code Regulations Division 2300 VIRGIl" AVENUE FORT FIER , FL 34982-5652 (772)462-1553 FILLED LAND AFFIDAVIT I, the undersigned, am the owner ofthe following described property, 05-- A/ 110/Legal 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.. UG-YG1� ic�c� Pr'lperty,Elwner Name (Ptea4e t) property owner Signature! STATE OF FLORIDA, COUNTY OF ACKNOWLEDGED BEFORE ME THI,,�pp'yyD��AY OF 47/j 20"Q© - BY Y' % 11 WHOIS PERSONALLY KNOWNTO ME Q OR WHO HAS PRODUCED g ) C-' AS IDENTIFICATION. ��et] UGl YYI �NA2LO, SI ATURE OF Y P I �, TYPE OR PRINr NOTARY COMMISSION NUMBER (SEAL) • ksr.P( AUDREYB.HUMPHREY SLCPDSD Revised 04111/2011 ' * MY COMMISSION # GG 300817 EXPIRES: March 6, 2023 Bonded Dru N= Public Undewilers