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HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT •g Building & Code Regulations Division 2300 VIRGINIA AVENUE FORT PIERCE, FL 34982-5652 RECEIVED (772) 462-1553 DEC Q D 2020 FILLED LAND AFFIDAVIT I, the undersigned, am the owner of the following described property, '-34/-00,-�L©--00or &;� (Parcel IM/Legal L parmitting M'P 'W3t St. t.='a' oe 141y/ L 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 neitherobliged nor liable to provide for, or maintain in any form, adequate drainage off my property which will not adversely affect the immediate community. Property er Name (P a Print) PrypertyOwnersigpure Date STATE OF FLORIDA, COUNTY OF l • L u6 C� ACKNOWLEDGED BEFORE ME THIS DAY OF /✓ Cam( . 20 c -0 BY i WHO IS PERSON r..v xtrnvva Tn (_) OR WHO HAS PRQDL�CEO, AS IDENTIFICATION. NUMBER SLCPDSD Revised 04/11/2011 4'a I I o 111 M / L TYPE ORIM NOTARY (SEAL) Notary publle State of Florida s . Kaylirt J, May MY commission 00 906961 w EA(tiftlS 1010312023