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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 SCANNED R E C E 1' . D SEP 2 7 2017 FILLED LAND AFFIDAVIT BY St. Lucie County I, the undersigned, am the owner of the following described property, 2'2-WL- (l0117-UDv- S� Id#/Legal deseription/Address)—� a (—jj;Cff for which I have applied to St. LIMY Y 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. J �C i e ne (Please Print) Proper r Signature Dat STATE OF FLORIDA, COUNTY OF �F�r�X./� �^•+� ACKNOWLEDGED BEFORE ME THI DAY OF 20, BY~� WHO IS PERSONALLY KNOWN TO ME (0) OR WHO HAS PR96WD AS IDENTIFICATION. t G CCjj SIG F Nev ARY PUBLIC TYPE OR PRINT NOTARY COMMISSION NUMBER MaCCAy NOTARY PUBLIC l3TAlE OF RLOWDA . Comm4 FFii01401 SLCPDSD R"iud 04/I 12011 F�lrea erzi�2ozo