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HomeMy WebLinkAboutFilled Land Affidavit Y. PLANNING & DEVELOPMENT SERVICES DEPARTMENT COUNTY Building& Code Regulations Division RECEIVED 2300 VIRGINIA AVENUE FORT PIERCE,FL 34982-5652 MAY 1, 1U11 (772)462-1553 Permitting Department St. Lucie County FILLED LAND AFFIDAVIT I,the undersigned, am the owner of the following described property, 172 AI G 50(rc(a j)y- p-Dtf si ZUc l e (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. Property Owner Name(Please Print) Ea lode e aiide.,r 0S--Ids- 2,© 7 > Property Owner Signature Date STATE OF FLORIDA,COUNTY OF ACKNOWLEDGED BEFORE `METHIS DAY OF �"►�I zo�� BY�V`�N%ti V Vv i d/1�� WHO IS PERSONALLY KNOWN TO ME[D OR WHO HAS PRODUCED 1. K!L AS IDENTIFICATION. 6 ;grri� G;�� V%_S SIGNATURE AARY PUBLIC TYPE OR P OTARY �3 s�COMMISSION NUMBER ;;o��y'°�eG; DEANNA GIVENS Q Notary Public-State of Florida s• (tgpission#HH 086359 MiyCarn Expires Jan 28,2025 Bonded through NationalNogdry Assn, SLCPDSD Revised 04/11/2011