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HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT Building & Code Regulatiolis Division 2300 VIRGINIA AVENUE FORT PIERCE, FL 34982-5652 (772) 462-1553 FILLED LAND AFFIDAVIT .IAN ©$ 2O2D ST. Lucie County, Permitting I, the undersigned, am the owner of the following described property, �CANN� BY 1311- lot- 000g_ 000-u St. By (Parcel Id#/Legal description/Address) for which I have applied to St. Lucie County for 1 a Final Development Permit. In accepting this Final Development Permit, BP Number 19 D 1 - D 15 1, 1 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 fo- 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. Boom M ms PropertyOwner Name (Please Print) 1�8119 Property ature Date i STATE OF FLORIDA, COUNTY OF � I n f 1 H1 I � ACKNOWLEDGED BEFORE �METHIS �_ DAY OF JCI___ n m a rV 20 20 . BY N Q 11 Q d U M S WHO IS PERSONALLY KNOWN TOME ` x, OR WHO HAS PRODUCED NUMBER SLCPDSD Revised 04/11/2011 AS IDENTIFICATION. ICIULIMA 10-Ak.s JV�NJON TYPE OR PRINT NOTAM SEAL ,,••i,nro RICHARD DOUGLS JOMSON Wary Pubic -Stale ofFlwida Commission#GG D84821 MYCamm. Expires Mar20,2021 BWtdBmghNatiorA NmaryAssn