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HomeMy WebLinkAboutFilled Land Affidavit ST.LUCIE COUNTY <% BUILIANG & ZONING 2300 VIRGINIA AVENUE �19 FORT PIERCE,FL.34982-5652 ® o_ 772-462-1553 ©� FILLED LANDS AFFIDAVIT I,the undersigned, am the owner of the following described property: (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 110 4`410 y.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 Owner Name Property Owner Signature Date STATE OF FLORIDA,COUNTY OF--,StL ml j. ACKNOWLEDGED BEFO E ME THIS DAY OF ,2oL7 BY I' Gl�I S f�l�TL WHO IS P ONALLY KN TO ME OR WHO HAS PRODUCED AS IDENTIFICATION. vC1a.Tlh���- SIGNAIUW OF NOTARY TYPE OR PRINT NAME OF NOTOWN OS pPF'(i8`, MARCIA TALBERT COMMISSION �-_• -`• = �)PubliC-State of Florida NOTARY PUBLIC TITLE FOP _N y ' Commission#FF 941785 ';FOFcoP ` My Comm.Expires.Mar 30,.2020 " "' Bonded throuph National Notary.Assn.