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HomeMy WebLinkAboutFilled land affPLANNING & DEVELOPMENT SERVICES DEPARTMENT RECEIVE© Building & Code Regulations Division 2300 VIRGINIA AVENUE JAN 11 2021 FORT PIERCE, FL 34982-5652 (772) 462-1553 Permitting Department St. Lucie County FILLED LAND AFFIDAVIT 1, 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 , 1 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 form, adequate drainage off my property which will not adversely affect the immediate community. tod co Property Owner Name (Please Print) t _ 1-ll-zf Property Owner S ature Date STATE OF FLORIDA, COUNTY OF �k- U0, ACKNOWLEDGED BEFORE ME Is - DAY OF SJ�ha , 20ZI__, BY 1✓ WHO IS PERSONALLY KNOWN TO ME Ia OR WHO HAS PRODUCED t SIGNATURE OF NOTARY P LIC TYPE OR PRINT NOTARY COMMISSION NUMBER KAREN S. NIELSEN syp l e1, State o1 Fiorida-Notary Pubiic =* *= Commission # GG 207484 y YJFOf ypp My Commission Expires SLCPDSDRevised 04/11/2011 "+r t<<` June 12, 2022 AS IDENTIFICATION.