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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 RECEIVED FILL%P, y ;I�,�FFIDAVIT r AU, © °u19 gy "'i=County, Permitting StludeCounty - I, the undersigned, am the owner of the following described property, $oos FRIbL wAy (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. Al / i /4 Pr perry caner Name se Print) nn 7 d� e er Signature Date STATE OF FLORIDA, COUNTY OFs5, , LU 64 BY� � Il C� LEDGED BEfORE ME THIS 1 Xl A-�V1 a nd DAY OF , . / . OR I� /�. WHO IS PERSONALLY KNOWN TO ME ll VV 11 AS IDENTIFICATION. TYPh OR PRINOTARY SEAL $Jsr nay, Nc ry Public Sle6e of Florida `F Kaylin J May y, c, 'P� My Commission FF 914312 SLCPDSD Revised04/112011 'te,p0 Expires 10/00l2019