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HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVEL'OPMENT SERVICES DEPARTMENT Building & Code Regulations Division 2300 VIRGE41A AVENUE FORT PIERCE, FL 34982-5652 (772)462-1553 LAND AFFIDAVIT SCANNED �b 1* P100A0f I, the undersigned, am the owner ofithe following described property, 3402-610-06.08-000-8 (Parcel Id#/Legal description/Address) for which I have applied to St. Lucie County for a Final Develo ment Permit. In accepting this Final Development Permit, BP Number • a0I acknowledge that as owner of the above described property, and in accordance with Section 104.01(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. L IJ 0 A Properly Owner Name (Please Print) ^ roperty Owner Signature ' i Date % STATE OF FLORIDA, COUNTY OF ACKNOWLEDGED BEFORE ME �T-HI�JS ✓ DAY OF ©C/ 7)60 r 20 lT BY ) J,614 90 G�L9 I ' WHO IS PERSONALLY KNOWN TO ME U OR WHO HAS PRODUCED 'SIIG�NATURRE OF NOTARY PUBLIC 7DJ3 7COISUSSION NUMBER SLCPDSD Revised 04/11/2011 AS IDENTIFICATION. TYPE OR PRINT NOTARY Y Paula E. O'Sden WdMRY PUBLIG STATE OF FLORIDA Commit FF970337 Explres 3/14/2020