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HomeMy WebLinkAboutFILLED LAND AFFIDAVITP PLANNING & DEVELOPMENT SERVICES DEPARTMENT Building & Code Regulations Division 2300 VIRGINIA AVENUE FORT PIERCE, FL 34982-5652 (772) 462-1553 BY FILLED LAND AFFIDAVIT I, the undersigned, am the owner of the. following described property, 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. aenh?lo kiss !179rM into s� op rtg Q,wrierS gn ture STATE OF FLORIDA, COUNTY OF 7— //— /8 Date ACKNOWLEDGED BEFORE ME THIS DAY OF . 20 V � BYWHO IS PERSONALLY KNOWN TO ME,0) OR WHO HAS PRODUCED AS IDENTIFICATION. SIGNKrURE NO Y PUBLIC TYPE OR PRINT NOTARY C'.190 COMMISSION NUMBER (SEAL) VILMA PIZARRO TAState of Florida -Notary Public SLCPDSD Revised 04/11/2011 y•E Commission # GG 190324 •.,, pp �F`� MyCommission Expires February 26, 2022