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HomeMy WebLinkAboutFILLED LAND AFFADAVIT DocuSign Envelope ID:661192CF-1304-4OE4-BOF5-B6D61 D2D4AEC F PLANNING & DEVELOPMENT SERVICES DEPARTMEN'I' Building & Code Regulations Division 2.1, u0 VIRGINIA A I ll'I FORT PIFR(T. PI 34L)y?- 6:, (7721 402-1 55 i FILLED LAND AFFIDAVIT 1. the undersigned. am the owner ofthe following described property. 131 C)-I y -,-) - OC D-I - �� -- I (Parcel Id#/Legal description/Address) for which I have applied to St. Lurie 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 fbr assuring adequate drainage so that the immediate comnumity 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 anv term, adequate drainage oft' my property which will not adversely affect the immediate community. C I&rIL 1'ropci I\ Owner Name W1case Print) DoeuSigoed by: eofmtty*ilw wr Signature Date STATI�OP P'I.ORII):1.C'Ot!NTY OF �r•L C __._. .___._ ACKNOWLFI)GI 1)RFFORE OF _o z 1 ny_Ghr�S per- G\ 1��_. WHO IS PFRSONAI I v KNOWN R)CIF ja(W MR)HAS PRODUCH) �r=._.}ers L�,c,s- — ASII)tvr11,11CATUA, Y(,\.\II i� �„1 ,I �N iillt ill (.I: PI .\1 I �i , HRD SKelly Finley A�O� SI_ TI)SD Revisal 10 1 1 2011 0� Notary Public -State of Florida ' ?Comm#HH082506 y��NCE A9�� Expires 1/19/2025