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Filled land Affidavit
PLANNING & DEVELOPMENT SERVICES DEPARTMENT Building & Code Regulations Division RCVD 2300 VIRGINIA AVENUE FORT PIERCE, FL 34982-5652 (772) 462-1553 MAY 31 2019 ST. Lucie County, Permitting 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 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 'foim, adequate drainage off my property which will not adversely affect the immediate community. - mlB Date STATE OF FLORIDA, COUNTY OFI ACKNOWLEDGED BEFORE ME THIS DAY OF / 20 BY �Vf MO . Jr WHO IS PERSONALLY KNOWN TO ME (M OR WHO HAS PRODUCED (� SIGN OF NOTARY PUBLIC COMMISSION NUMBER SLCPDSD Revised 0411112011 AS IDENTIFICATION. . W1 �e,, - E, vrati M TYPE OIL PRINT NOTARY (SEAL) BAYLIE EIKMEI PRbiic `� Y P �j =o ,State of Florid® Notary ._ Commis®ion # Ci© 23f3138 AAy Commission ex "�J' \� July 04 2022 �P c , pry`, o i ���\\