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HomeMy WebLinkAboutFilled Land Affidavitf 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, (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. STATE OF FLORIDA, COUNTY OF ACKNOWLEDGED BEFORE ME THIS 1 DAY OF / BY �~-a"rLA �e 'Ei -.! O IS PERSONALLY PRODUCED 20 ME L--) OR WHO HAS AS IDENTIFICATION. (MAa�� -G��t s�tiF llw'4f SIGNATURE OF NOTARY PUBLIC TYPE OR PRINT NOTARY COMMISSION NUMBER ;Oow Pkpt Notary Public State of Florida Christine Matos My Commission EE 224(§UAL) %?oF TY Expires 10/12/2016 SLCPDSD Revised 04/11/2011