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HomeMy WebLinkAboutFilled Land Affidavit �u PLANNING & DEVELOPMENT SERVICES DEPARTMENT �Y,. Building& Code Regulations Division = v! 2300 VIRGINIA AVENUE FORT PIERCE,FL 34982-5652 (772)462-1553 FILLED LAND AFFIDAVIT I,the undersigned, am the owner of the following described property, a36 - 7c6 o©o --1 (Parc d#/Legal description/Address) 16761? C0,01'6n l oily 5 0 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. JO �An o,j[AoLo Property Owner Name(Please t) O P Werty Owner Signature D e STATE OF FLORIDA,COUNTY OF J"I C_U e i 1 e— ACKNOWL GED BEFORE ME THIS / v DAY OF O' 0 Q BY ` IS PERSO L OWN TO ME ZOR WHO HAS PRODUCED ID TIFICATION. reil da /W- ec? CA OF UBLIC TYPE PRINT NO CO •.�IUMBEItRENDA LEE LEA Notary Public.State of Florida Commission#GG 341965 (SEAL) or My Comm,Expires Jyi 30,2023 Bonded through National Notary Assn. SLCPDSD Revised 04/11/2011