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HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT Building & Code Regulations Division 2300 VIRGE41A AVENUE FORT PIERCE, FL 34982-5652 (772) 462-1553 FILLED LAND AFFIDAVIT I, the undersigned, am the owner of the following described property, (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 J0.09- 03-"1 , 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. 0>Sw-wax I � � 7) �' ,, z - U - NS -; � - Property Owner Name (Please Print) Z,Nr.,l� 5MJ1J\CL-1$ Ok I16I a©a-o Property Owner Signature Date STATE OF FLORIDA, COUNTY OF ACKNOWLEDGpED/BEFORE �]MEE THIS- Is DAY OF . 7� 20 BY C' ��1 C I (C V/ WHO IS PERSONALLY KNOWN TO ME Cn OR WHO HAS PRODUCED AS IDENTIFICATION. SIGNATURE OF NOTAkq RJBLIC TYPE-01.Z PRINT NOTARY V V 7 OMMISSION NUMBER (SEAL) SLCPDSD Revised 04/11/2011 `=o1PNV PUd�i ELLEN 'VAUGHN State of Florida -Notary public _� ec Commission # GG 270079 '�;;FOFF;o�°�' My Commission Expires