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HomeMy WebLinkAboutFilled Land AffidavitJ PLANNING & DEVELOPMENT SERVICES DEPARTMENT Building & Code Regulations Division 2300 VIRGINIA AVENUE FORT PIERCE, FL 34982-5652 772 462-1553 ' " C E FILLED LAND AFFIDAVIT NOV 0 7 2017 PERMITTING St. Lucie County, FL, I,.the undersigned, am the owner of the following described property, (a/oo l01hld7121-_-1,F ,D/Z ur-'o 1-zsT4rAre—VAeIr 02a t9,C1l /Z 3A16 6,o 3 -ol g(v © o o [ Ror /7 A" Al 3S- OF )-or l-3 (Parcel ld#/Legal description/Address) $ 3 � r- r 0 p j_ DT ) 8 ,4rrD N i-/9 /° T o /- I- o 7— i 9 3yD� a bo 3 —o l8£s- 000S 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 hither 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. PAt2 t e 1A 6- F/32 Al 455/Z Property Owner Name (Please int) Prop O rSiatVure Date STATE OF FLORIDA, COUNTY OF ACKNOWLEDGED BEFORE ME THIS _� DAY OF 20� BY �iCj(1/��),' \ �^ 1 W I�YI/LC i WHO 1S PERSONALLY KNOWN TOME E OR WHO HAS PRODUCED AS IDENTIFICATION. ARY PUBLIC TYPE OR PRINT NOTARY COMMISSION NUMBER Oly"11 KAREN S. NIELSEN (SEAL) ,• Commission # FF 115637 e, My Commission Expires June 12, 2018 SLCPDSD Revised 04/11 /2011