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HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT BUILDING S. CODE REGULATIONS DIVISION 2300 VIRGINIA AVENUE FORT PIERCE, FL 34982-5652 (772) 462-1553 lFRLLIED LANDS AFFIDAVIT T I, the undersigned, am the owner of the following described property, .38 io NW I& Cj e 1 Palm City, Fl 34490 0opq - ©top-� (Parcel Id#/Legal descriptlon/Ad ress) for which I have applied to St. Lucie County for a Final Development Pertnit. 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 farther 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. Scott Harala Property Owner Name (Please Print) 1 Proper wncr ignature Date STATE OF FLORIDA. COUNTY OF. Broward ACKNOWLEDGED BEFORE ME THIS —Z DAY OF J (A P) X— . 20_7_, BY Scott Harala wHO IS PERSONALLY MOWN TO ME OR WHO HAS PRODUCED., AS IIDDENTIFICATION. � S--SIGNATURE OF NOTARY PUBLIC " TYPE O 'PRINT NOTARY ° COMMISSION NU?V1BER (SEAL) t 0.YPV''i SAM COOPER E112111 6% t4otary Public - State of Florida sLcrnsD Rcvsca Commission d� FF 915G90 n� my Comm. Expires Sell 7, 2019 nonded tllrouflh Plational Nnt, Assn