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HomeMy WebLinkAboutFILLED LAND AFFIDAVITRECEIVED NOV 0 b 2018 ST. Lucie coynty, permIging PLANNING & DEVELOPMENT SERVICES DEPARTMENT BUILDING & CODE REGULATIONS DIVISION 2300 VIRGINIA AVENUE FORT PIERCE, FL 34982-5652 (772) 462-1553 FILLED LANDS AFFIDAVIT SCANNED BY St Lucie County I, the undersigned, am the owner of the following described property, -so 22 -en©o 2 �6re - I 3 /LIR 4 r6c�cS T-3r o� ,(3d6G/�s���77i D `753 •o"7-r ,;2 (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 , 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. Property 6wner Name (Please Print) i "'�7- W Uo"S" Property Owner Signature Date ZZZ STATE OF FLORIDA, COUNTY OF 07 ACKN WLEDG� BEFORE ME THIS // DAY OF U C--/ 120 BY / zd' /� WHO IS PERSONALLY KNOWN TOME OR WHO HAS P UCED AS IDENTIFICATI � tz Sfdf4ATURW60YUY PUBLIC TYPE OR PRINT NOTARY COMMISSION NUMBER (SEAL a1aRY Peep, SHERRI FEHL6 a ° Commission # GG 187160 Expires March 14, 2022 9 pF Fvop�� sanded n m 8i*et Notary serv}ces SLCPDSD Revised 08/24/2010