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HomeMy WebLinkAboutfilled land affidavitPLANNING & DEVELOPMENT SER CE DEPARTMENT Building & Code Regulation Di Sion 2300 VIRGINIA AVENU FORT PIERCE, FL 34982-5 52 (772)462-1553 FILLED LAND I, the undersigned, am the owner of the following desc4ibedHroperty, Parcel ID: 4509-807-0006-000-3 OAKS AT INDIAN RIVER LOT 3 100 Edeh creek LN Jensen Beach, EL 34957 (Parcel Id#/I.egal description/Address) for which I have applied to St. Lucie County for I F' a Development Permit. In accepting this Final Development Permit, BP Numb I acknowledge that as owner of the above described property, and r accordance with Section 7.04.01(D), St. Lucie County Land Development Code I sh be responsible for assuring adequate drainage so that the immediate community OT be adversely affected. I further acknowledge that in granting this permit for the velopment of this property, St. Lucie County is neither obliged nor liable to pro 'de or maintain in any form, adequate drainage off my property which will not ad rely affect the immediate community. ,Te)0 Property Owr r ame a se Print) b Property Ier Signature Date !� STA OF FLORIDA, COUNTY OF ACKNOWLEDGED BEFORE ME THIS i I" DAY OF 20�b BY �� WHO IS PERSONALLY KNOW2 ONIE(ElOR WHO HAS P CED o AS IDENTIFICATION. S O NOTARY PUBLIC TYPE O PRINT N TAR COMMISSION NUMBER .A7.?�'•. SARA OONO NAL DER COMMIES NR 93050 1i SLCPDSD Revised 04/112011 EXPIRES: U" 11 2 21 i ''•:f..oFlx.` Bonded Thiu Note Pu61k aMAlers