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HomeMy WebLinkAboutFILLED LAND AFFIDAVITIwo SCANNED BY St Lurie COUVI I PLANNING & DEVELOPMENT SERVICES DEPARTMENT BUILDING & CODE REGULATIONS DIVISION 2300 VIRGINIA AVENUE FORT PIERCE, FL 34982-5652 (772)462-1553 FILLED LANDS AFFIDAVIT I, the undersigned, am the owner of the fo low' described ro ey, l oT /$ i3loCi�N'l . i ©cc�h+-( .La--(ep VcjVc) D -� (Parcel Id /Lega(description/Address) � � r7fF►��� l 12e ea � ►1S 4/ 5//-6it> -oa/S-ow -2..- 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. Property Owner a lease Print) c Property 0caner Signature STATE OF FLORIDA, COUNTY O .(- Date ACKNOWLEDDG -BEFORE ME THISS � DAY 0#6� . 20 I V By ' / fJ ^* K'� �e`� �e WHO IS PERSONALLY KNOWN TO ME OR WHO HAS pC._ R_17 AS IDENTIFICATION. 2, GN OF NOTARY&PUBLIC TYPE OR PRINT NOTARY I Z G COMMISSION NUMBER (SEAL) ELVIS R ROCK Notary Public - State of Florida Commission # FF 996539 my comm. Expires Sep 21, 2020 SLCPDSD Revised 08/24/2010 �° %�0��� �p�` Bonded through National Notary Assn.