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HomeMy WebLinkAboutFIELD LAND AFFIDAVITSCANNED BY ST. LUCIE COUNTY BUILDING & ZONING 23GO VIRGINIA AVENUE FORT PIERCE, FL34982-5652 561462-1553 FILLED LANDS AFFIDAVIT I, the unpersigned, am the owner of the following described property: 6©/_ ©0,5-j%— 0W O (Tax ID/Legal description/Address) forwhic, 1 have applied to St. Lucie County for a Final Development Permit. In accepting this Fin 'I Development Permit, BP Number I acknowledge that as owner qli the above described property, and in accordance with Section 7..04.01(D), St. Lucie O unty Land Development Code, I shall be responsible for assuring adequate drainag'' 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 drainag off my property which will not adversely affect the immediate community. ZIZ114Go -0 9 Propert Owner Name Property Owner Signature Date STATE O j FLORIDA, COUNTY OF a LU -ACKNOW, EDGED BEFORE ME THIS_ IO� DAY OF BY W I WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED , AS IDENTIFICATION. - _ _ _ _ _ _ _ _ _ _ _ OF NOTARY TYPE OR PRINT NAME OF NOTARY COMMISSION NUMBER Notary Public - State of Florida Ay Commission Expires Apr 10, 2010 Commission # DD 539038 Bonded By National Notary Assn.