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Filled Land Affidavit
PLANNING & DEVELOPMENT SERVICES DEPARTMENT Building &-Code Regulations Division 2300 VhRGINIA AVENUE RECEIVE D FORT PIERCE, FL 34982-5652 (772) 462-1553 A P R 2 9 2019 FILLED LAND AFFIDAVIT I 8T. Lucie County, Permitting I, the undersigned, am the owner of the following described property, Lit ,— fo w� ©l°, to - (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 , 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. STATE OF FL(A, COUNTY OF L V ACKNOWLEDGED BEFORE MICE THIS � � DAY OF kP YI I , 20I BY gYemirm OI. Fg a I O r m (A�J� IS PERSONALLY KNOWN TO ME (D OR WHO HAS PRODUCED ARY PUBLIC COMMISSION NUMBER SLCPDSD Revised 04/11/2011 AS IDENTIFICATION. rarmu C�1mmvVl TYPE OR PR N NOTARY (SEAL) RANYA HANI GHA77AWI A,.Notary Public, State of Ohio My Comm. �;�T•:..�....:•��°= ,F o Expires �i�May F° Recorded 13, 2023 County