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HomeMy WebLinkAboutFilled Land AffidavitPLANNING d / -, VELOPMENT SERVICES DEPAFtTA 'IT 'h bu=t`+aing & Code regulations Division a 2-100 VIRGINIA AVENUE ; FORT PIERCE, FL 34992-5652 (772)462-1553 FILLED LAND AFFIDAVIT I, the undersigned, am the owner of the following described property, 2 Y77 —b 0/ ©4/0- D001a — 37,0 c) S, 7W STD �� 7Z,, ;Lr'Yi� (Parcel 1011-egal deseriptioulAddress) for which I have applied to, St. Lucie County for a Final Development Permlit. 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, l shall be responsible for assuring adequate drainage so that the immediate community WILL NOT be adversely affected. I firther acknowledge that in granting this permit for the development of this propcaty, 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. AIZI OA,1/4 J�WA.,,,/1� LAG Propoty Owner N e (Please Print) Property Owner Signature Date STATE OF F=MNA, CQUWY OF aglel17/JeW' /OM AC..KNOW LE>M BEFORE ME THIS AnAY OF /�OG2a/r7�`` , 20 / Z BY�r!%Gr _iVI Ifl IS PEEtSOt3ALL 1E KNOWN TONE fU OR WHO RAS PRODUCED �1 "lair" `/[�/AS IDENTIFICATION. SHWATURE OF NOTARY PUBLIC TYPE OR PRINT NOTARY COMMISSION NUMBER (SEAL) RANDI ATffiRIS Notary Public State of Michigan County of Macomb SLCPDSD Revised 04111/2011 NtyCommission ExpiresA r25, _02t Acting in the County of Scanned by CamScanner