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HomeMy WebLinkAboutFilled Land Affidavit ST. LUCIE COUNTY BUILDING & ZONING 2300 VIRGINJAA AVENUE MAY I � ® FORT PIERCE,FL-34982-5652 772-462-1553 PERMITTING aL _ St. Lucie County, r-L FILLED LANDS AFFIDAVIT I,the undersigned, am the owner of the following described property: ��1 ) - (0 U- 6259_�9 (Tax 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. v VA C�w�r Property Owner Name Property Owner Signature Date STATE OF FLORIDA,COUNTY OF '5t- J G ACKNOWLEDGEDD BEFO ME THIS�_DAY OF 20-( BY 4`�/ O IS PERSONALLY KNOWNTO ME OR WHO HAS PRODUCED AS CATION 6 `J J 1 SIGNATURE OF TARY TYPE OR PRINT OF NOTARY (SEAL) NOTARY PUBLIC TITLE COMMISSION NUMBER r.2*s�•tpR�Pve i� ANG7Nota �Ai Notary Publorida • Commiss30 'yFOF F�OP�� My Comm.E ,2019 - 0ondedthrougyAssn.