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Filled Lands Affidavit
COUNTY"" PLANNING & DEVELOPMENT SERVICES DEPARTMENT BUILDING & CODE REGULATIONS DIVISION 2300 VIRGINIA AVENUE FORT PIERCE, FL 34982-5652 (772)462-1553 FILLED LANDS AFFIDAVIT I, the undersigned, am the owner of the following described property, 1327 2b1'-Ov81-eJaa - J WLX l0 eZ c.1-&tC.y 04 wg "-^, 3 /vT Z 6 / (Parcel Id#/Legal description/Address)2g8 2 136,ty'i D LA-O--� 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. / 1 Property O er lame lease Print) O ZO O Property 7t ature Date STATE OF FLORIDA, COUNTY OF S-- • W U C- ACKNOWLEDGED BEFORE METHIS 26'fl- DAYOF ' ,202-a—, BY �) U 1 Q %Yl d4YI.41w✓ WHO IS PERSONALLY KNO TO ME_ OR WHO HAS AS IDENTIFICATION. op- ill n� SIC AT OTA &k!E TYPE OR PRINT N TARY ,�PbV's�j�,, Rebecca Sinna OMMIss1oN NumBER a?' `� Commission # GG060676 ,o Expires: January 9, 20,�1.AL) %�•;�'ov�©,.� Bonded thru Aaron No nnnua� SLCPDSD Revised 08/24/2010