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HomeMy WebLinkAboutFilled Land Affidavit r It ''75i _ � :z .� P_LANPi M&DEVEWIPMENT SERVICES DEPARTMENT BUIIIDITG&CODE REGULATIONS DIVISION 2300 VIRGRUAAVMM FORT PLERCE,'FL34982-5652. M2)462,1553 I,the undersigned,am the owner of the following described properly, & _ (Pared 11MALeSd dela ip#motAddrea) for which I have applied to St. Lucie County for. a Final Development Permit In amepting this Pimm.Development Permit, BP Number I acicmwledge that as oymer- of the above descn-bed property, .and. in accordance with Section 7.04.01(D),St.Lucie Cour Land.Development Code,I sell be rmponsi-ole,for'ass mg adequate drainage so that the immediate community M" be adversely affected. I further acknowledge that in granting this permit far the development of this prOPULY, St. Lucie County is neither obliged nor liable to provide for, or maintain in any form, adequate drainageoff my prdPWY which will;not.._adversely affect:Ahe immediate - community. Pr er ame(Pt e PriQt� owner Signaure Date ' d•— STATE OF FLORIDA,COUNTY OFF �, A%N0WLEDGEOBEE01tEUE-'£HIS,,,,�,�,_„DAY BY �, / ✓"r .+� C__ WHO IS PERSONALLY KNOWN TO W OR WHO HAS PRODU - ASIt3EIIdT�1FTQC'AWON OFNOTARYPUBLIC,_ TYPEORPRW140TARI'Y �it �� COMMISSICQIdNtaMHEft ELVIS R.ROCK Notary Public-State o1 Florida My Comm.Expires Sep 21,2016