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HomeMy WebLinkAboutFILLED LAND AFFIDAVITANNE® ST. LUCIE COUNTY AVEN ��oo a BUILDING & ZONING 2300 �1'100 WOFORT PIERCE 349822-556 S652 772-462-1553 FILLED LANDS AFFIDAVIT I, the ndersigned, am the owner of the following described pro erty: p 04 G!�!K Pde.s1-'6/—pfi—.n1/Address) LOT(Tax ID/Lega 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 NO 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 TMS ` DAY OF Bye /C%� S G! 1/ �r`I <1-1 7141E4qIO.IS PERSONALLY KNOWN TOMEOR WHO HAS PRODUCED 011, j GNATURE OF • NOTARY PUBLIC TrrLE IDENTIFICATION. TYPE OR PRINT NAME OF NOTARY i.GI::.�1 COMMISSION NUMBER , Y1Ay9�i JO ANNE WILLS Commission # FF 188304 =;;a' Expires February 20, 2019 Buded Thor Tvoy Faln Insuraiwo 800-385•)079 v