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HomeMy WebLinkAboutFilled Land Affidavit_SignedDocuSign Envelope ID: B609EEC4-1575-40F3-8E6C-8E1 El 42080DA PLANNING & DEVELOPMENT SERVICES DEPARTMENT 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, 3402-605-0037-000-8 (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. Daniesky Vega Garcia Property Owner Name (Please Print) EDocuftned by: � . 8/12/2021 6 mpeWy60 cler Signature Date STATE OF FLORIDA, COUNTY OF Palm Beach ACKNOWLEDGED BEFORE ME THIS _ BY Daniesky Vega Garcia 12. DAY OF WHO IS PERSONALLY KNOWN TO ME (Z) OR WHO HAS PRODUCED AS IDENTIFICATION Deanne L. Pierce SI(fN Ail RE OF NOTARY PUBLIC TYPE OR PRINT NOTARY COMMISSION NUMBER �\\\1111111111/// `�S LYNN p/F SF-�1 i o SLCPDSD Revised 04/1112011 Z #Hi 122934 ? ' 0 0`r� i o9P/ 0� �yP bUc Und .'\���� //////eC/t; •S7A���\���\