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HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT Building & Code Regulations Division 2300 VIRGINIA AVENUE FORT PIERCE, FL 34982-5652 (772)462-1553 DEC 19 2010 FILLED LAND AFFIDAVIT Permitting Department SCANNED St. Lucia Rol my 6 y -- St I I,�G_E'Q� I, the undersigned, am the owner of the following described property, 3LA()a-&10-0531c)-000—a 1 (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(1)), 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. �-4,1- 14'-L,#2D0 terler Manne (Please Prir 0 Ter Siefiature Date' STATE OF FLORIDA, COUNTY OF 3Y• I �.%� V—�� T `� ACKNO IWLEDGED BEFOREI ,MBE TEIIS DAY OF TPLQyIJ' .20-2- BY / I/A�I i (.P, � f C( Q WHO IS PERSONALLY KNOWN TOME OR WHO HAS PRODUCED SIG14ATURE OF NOTARY PUBLIC �j3b%m1SSION NUMBER LCPDSD Revised 04/1112011 AS IDENTIFICATION. TYPE ORP YPE OR PRINT NOTARY (SEAL). Y.:q,', MICHELLE LOBRUTTO _.: Commission # FF 949733 `;' _.-' Expires January 12, 2020 �P,,,,! Band DnT,, F. W..d8003P 7019