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Home My WebLink AboutFILLED LAND AFFIDAVITAP r. 15. 2013 11: 34AM No.5652 P. 3 sur t` to bulWL" PLANNING & DEVELOPMENT SERVICES DEPARTMENT BUILDING & CODE MOULATIONS DIVISION 2300 VIRGINIA AVENUE FORT PIERCE, PL 34982-5652 (772)462-1553 FILLED LANDS AFFIDAVI'.& <1', At CFO 004�y I, the undersigned, am the owner of the following described property, L4 1 S — -2(rz -ool -7 —000-0 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, �'a%pN C. MiG4H v �c.�� rc�f Property Owncr Name (Please Print) Prcperty r Signature c' amDate STATEOPFLOPMA,COnNTYOZ • LUt—r ACKNOWI.EDGPD SEFOREMIE1THIS F)� DAY OF ✓r 20It 13 . BY IJ•r1r1 �(QY 1VH0 IS PERSONALLY KNOWN TOME ORwHOHAS FE \3\\S V commissioNNOMEER ASIIDP.NTIRCATION. TYPE ORPRINTNOTARY (SEAL) O'CE'19)9— LILLIAN S. SHEPHERD NOTARY PUBLIC SLCPDSD Rcvised M20010 STATE OF FLORIDA Comm#EE131156 Expires 12/14/2015 Apr. 15. 2013 11: 34AM No. 5652 P. 3 sevi-t +(3 oWmik-, PLANNING & DEVELOPMENT SERVICES DEPARTMENT BUILDING & CODE MOULATIONS DIVISION 2300VIWNIAAVENUE FORT PHIRC6, PL34982m%52 SCANNED (772)462-IM BY St. Lucie County FILLED LANDS AFFIDAVIT I, the undersigned, am the owner ofthe following described property, --2 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, Property Owner Name (Please Print) Properr Signature Date STATROF FLORn7A, COUNTYOF U• c C ACKNOWLPDG® EEFOREhSTHIS I1f DAY OF ✓� I t, 201 �s G3 By'Ml(1Qt� WHO IS PERSONALLY KNOWN TO h4E X ORWHOHAS E -� SLCPDSD Raind 02#74MI0 TYPEORPRINTNOTARY (SEAL) LILLIAN S. SHEPHERD NOTARY PUBLIC STATE OF FLORIDA Comm# EE131156 • 1NOP,S 1 Expires 12/14/2015