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FILLED LAND AFFIDAVIT
PLANNING & DEVELOPMENT SERVICES DEPARTMENT © - Building & Code Regulations Division _ 2300 VIRGINIA AVENUE FORT PIERCE, FL 34982-5652 (772)462-1553 RECE7, 6D FILLED LAND AFFIDAVIT I JAN 3 1 2022 ST. Lucie County, Permitting 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�1—)SD 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. WO OWncr Name er Sign I -zee Z2 Date STATE OF FLORIDA, COUNT OF ACKNOWLEDGED BEFORE ME THIS V1 DAY OF / , 20 , BY V\� i D �� WHO IS PERSONALLY KNOWN TO ME (_) OR WHO HAS PRODUCED— —AS IDENTIFICATION. Cis SIGNATURE O NOTARY FI LI TYPE OR PRINT NOTARY COMMIS 1 N NUMBER (SEAL) SCR s Cassidy Berger SpRya Cassidy Berger o�, NOTARY PUBLIC PLO sow NOTARY PUBLIC ESTATE OF FLORIDA "/ ESTATE OF FLORIDA SLCPDSD Revised 04/1 1/201 I y Comm# GG973629 Comm# GG973629 'sliN E 19�� Expires 3/26/2024 E (oii es 3126/2024