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FILLED LAND AFFIDAVIT
PLANNING & DEVELOPMENT SERVICES DEPARTMENT Building & Code Regulations Division 2300 VIRGINIA AVENUE FORT PIERCE, FL 34982-5652 (772) 462-1553 FILLED LAND AFFIDAVIT Spate BY St LOP (;i1imb, I, the undersigned, am the owner of the following described property, 1430-311-0002-000/3/3163 Hamond Rd Fort Piece, Florida 34946 - Unit 2 (Parcel id#/Legal descripdon/Address) for which I have applied to St. Lucie County for a Final Development Permit. In accepting this Final Development Permit, BP Number /Roi - oa S` , 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. In•:�)- I Date STATE OF FLORIDA, COUNTY OF z4 L)C'\ e_ ACKNOWLEDGED BEFORE ME THIS 1s� DAY OF ©CA 20_IC_, BY \ Q. Ds 1 WHO IS PERSONALLY KNOWN TO ME ( OR WHO HAS COMMISSION NUMBER 0 .t 1n) 1 11 It 1,5 TYPE OR PRINT NOTARY (SEAL) IDENTIFICATION. LOAIWILLIAMS �� vo"'•..,, NoCoryPohsionI fnoridrt SLCPDSD Revised 04/11/1011 f affj '1a GG0ate CammissioneGG 099764 My Comm. Expires May 1, 2021 BaxdeAPmughhxG.mxINMx7MN.