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Filled Land Affidavit
ST.LUCIE COUNTY ° . p .. BUILDING & ZONING 2300 VIRGINIA AVENUE ® FORT PIERCE,FL.34982-5652 © o 772-462-1553 - -TEED- 1, TEED I,the undersigned, am the owner of the following described property: (Tax 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 C10{-0%to j I acknowledge that as owner of the above described properly,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. Property Owner Name Property Owner Signature Date STATE OF FLORIDA.COUNTY OF S��y YYUGjt A � ACKNOWLEDGED BEFORE ME THIS—2�fDAY OF �lZ 20�� BY '-H IS'PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED Boz t �AS IDEN'TiFTCATION. SIGNA OF NOTARY TYPE OR PRINT NAME OF NOTARY (SEAL) NOTARY PUBLIC TITLE COMMISSION NUMBER '0.. '. N GARYBAKER t_ MY COMMISSION#GG 06454$ B4t�dCEXPItRNOt�ypPN21•2D21