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HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT Building & Code Regulations Division 2300 VIRGINIA AVENUE FORT PIERCE, FL 34982-5652 (772) 462-I 553 FILLED LAND AFFIDAVIT I, the undersigned, am the owner of the following described property, Id#/Legal for which I have applied to St. Lucie County for a Final Develo ment Permit. In accepting this Final Development Permit, BP Number Dl - . 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 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 Own6 ame (Ple rint) -Pro ' _ er Signature DK e STATE OF FLORIDA, COUNTY OF ACKNOWLEDGED BEFORE ME THIS o? C)+;IX DAY OF 12rVenn eC , 20� BY WE94S PERSONALLY E (0) OR WHO HAS C PRODUCED AS IDENTIFICATION. SIGNATURE OF NOTARY PUBLIC TYPE OR PRINT NOTARY `D © COMMISSION NLWBER (SEAL) SLCPDSD Revised 04/1 1/201 I Heitller C DehM11o} Plaids vMy Cor mn@M HH 02e090 E*Wn 08/0S/1021