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HomeMy WebLinkAboutFILLED LAND AFFIDAVIT PLANNING & DEVELOPMENT SERVICES DEPARTMENT ;j ` Building & Code Regulations Division 2300 VIRGINIA AVENUE FORT PIERCE, FL 34982-5652 (772) 462-1553 FILLED LAND AFFIDAVIT I, the undersigned, am the owner of the following described property, "3 je/ &), - 6 !n - o 'Q3S oca - 7 (.l._n I f I�5 jf ©# �f l (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. arComo d6e — o•�•o Property Owner Name (Pleas rmt A2 Property Owner Signa Date STATE OF FLORIDA, COUNTY OF ACKNOWLEDGED BEFORE ME THIS �THIS �C�_— DAY OF BY �1gTV V' 1� QC 1U WHO IS PERSONALLY KNOWN TO ME ( OR WHO HAS PRODUCED LAC C - AS IDENTIFICATION. SIN TUBE OPNOTARY PUBLIC TYPE OR PRINT NOTARY COMMISSION NUMBER (SEAL) '1st Nole Public Slate o( Florida SLCPDSD Revised 04/I1/2011 ;P �� Rob n L Bowen � g g My Commission GG 298212 �iqp, Expires 02/04/2023