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HomeMy WebLinkAboutFILLED LAND AFFIDAVITV01 PLANNING & DEVELOPMENT SERVICES DEPARTMENT Building & Code Regulations Division RECEIVED 2300 VIRGINIA AVENUE -- - FORT PIERCE, FL-34982-5652 OCT O 4,2018 (772) 462-1553 Permitting Depaltment St. dude county FILLED LAND AFFIDAVIT I, the undersigned, am the owner of the following describedproperty, /7 9/9:) lA (Parcel Id#/Legal description/Address) for which I have applied to St. Lucie County for a Final Development Permit. In accepting this Final Development Permit,. BP Number /$ 49 -022 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. SCANNED � k,K s �t �By Property Ownpr Name (Please Print) UCle County operty 0 r Signature D e STATE OF FLORIDA, COUNTY OF ACKNOWLEDGED BEFORE ME THIS / DAY OF ©& D 412- , 20 L BY — P,f ��1) K! n -T WHO IS PERSONALLY KNOWN TO: MEd1:1 OR WHO HAS PRODUCED/Bw% �Lo. r J d �+' p i C �/— AS IDENTIFICATION. t /orl T_ I�-®l(2., WRTIOATTIMP.001F 1 0' Y PUB TYPE OR PRINT NOTARY 7'% COhAESSION NUMBER a`r i '' GLORI2 J POLI2ZI X' Notary Public - State of Commission N GG 24l140 My Comm. Expires Sep 30, Florida]2022 SLCPDSD Revised 04611/2011