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PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE,, FL 34982-5652
(772) 462-1553
FILLED LAND AFFIDAVIT
L the undersigned, am the owner of the followmg described property,
1301 -603w-0 1 93w-000.7
(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
7.04.0 1 (D), St. Lucie County Land Development Code, I shad be responsible for assuring
adequate drainage so that the 1"ediate 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 obli.ged nor liable to provide for, or maintain in any form,
adequate drainage off my property which will not adversely affect the unmediate
community.
aria V. Ford
Property
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFORE ME "rHIS
05-w22-2021
Date
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Z7- DAY OF
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