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HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT SCANNED Building & Code Regulations Division �� 23OBVIROU"AVENUE ¢+ y, FORT PIERCE, FL 34982-5652 (772)462-1553 Slpp . Lucie UOunl`/ FILLED LAND AFFIDAVIT 1, the undersigned, am the owner of the following described property, for which I have applied to St. Lucie County for a Final Development Permit. In accepting this Final Development PermI% 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 Cade, I shall be responsible for assuring adequate drainage so that the immediate community W17.L NOT be adversely affected. I further acknowledge that in granting this permit for [he 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. -rifloet Corr PmPltY QWner Name (Please Print) L'�ltAri /Lot(Ifj`ny1 _t'pt f�,t_�1( Prapeny Owii2r Sipneture pme SFATEOFFLORIDA, COUNTY OF �/� •�"..0 ri/ BY SLCPDSD Rervim7 tN/110BI1 WHO HAS ARY PUBLIC TYPE OR COMMISSION NUMBER p� NOTARY PUBLIC E 3 STATE OF FLORIDA EE120733 3"'✓CP W F-mires 0.r1012015 Placr,