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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 FILLED LAND AFFIDAVIT I, the undersigned, am the owner of the following described property, H-rs - description/Address) SCANNED St. Luc ey County for which I have applied to St. Lucie County for a Final Development Permit. In accepting this Final Development Permit, BP Number JGba-OLifS 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. m O )1-,a -IQ Date STATE OF FLORIDA, COUNTY OF S 1 � )_VCR C ACKNOWLEDGED BEFORE METHIS 1 a� DAY OF r V 0\1 .20 Ij_, BY 6\6 < r0DV&r \r.10,Mty d V' WHO IS PERSONALLY KNOWN TOME (0) OR WHO HAS IDENTIFICATION. Q+Yw C-0- �`36w inS SIGNATURE OF NOTARY PUBLIC TYPE OR PRINT NOTARY COMMISSION NUMBER (SEAL) �W,_ Notary public State of Floritla SLCPDSD Revised 04/1IYLOl1 n A Thomasina Bowins • �C �•+ My Commission GG 201733 M1W' Expires 03/29/2022 3