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PLANNING & DEVELOPMENT SERVICES DEPARTMENT aim2300 Building & Code Regulations Division VIRGINIA AVENUE FORT PIERCE,FL 34982-5652 (772)462-1553 FILLED LAND AFFIDAVIT I,the undersigned, am the owner of the following described property, /Lf 2gs �p2-©00 7 - 0008 (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 D�• (� , 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. Ljam tea- ✓�l '` Prope Owner Name(P ease Prin c� 1 opkty Owner Signature Date STATE OF FLORIDA,COUNTY OF ACKNOWLEDGED BEFORE ME THIS DAY OF 1/ V 1 —20 5 44 rJur y)G�t WHO IS PERSONALLY KNOWN TO ME(_)OR WHO HAS PRODUCED fl o cC. v of S L i C e vt S e AS IDENTIFICATION. SI ATURE OF N ARY UBLIC TYPE OR PRINT NOTARY O a-7 COMMISSION NUMBER ,.,;joy ` o'oyptq?,. KAT 'PRINGSTEEL . ._ Notary Public-State of Florida •_ Commission #FF 215027 °mac M Comm Expires.-wr 13.2019 SLCPDSD Revised 04/11/2011 +1 y ,���,,•� Bondedtnrouyh Nau,u, Nrtattv Assn. KATHLEEN SPRINGSTEEL 1; NoUry Publid-Shte of Florida e Commission#FF 215027 My Comm.Expires Jun 13.2019 Bonded ftwOh National Notary Assn