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HomeMy WebLinkAboutFilled Land Affidavit RECEI1.'70 AUG 24 2 36 PLANNING & DEVELOPMENT SERVICES DEPARTMENT Building&Code Regulations Division 2300 VIRGINIA AVENUE FORT PIERCE,FL 34982-5652 (772)462-1553 FILLED LAND AFFIDAVIT I,the undersigned, am the owner of the following described property, -'o-\ 061-ba1As_ aQ© --1 (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 \GM-G'N 4 , 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 Owneram�fl�e(Please Print) ZZY � alb Property Owner Signature Date STATE OF FLORIDA,COUNTY OF \--J C 1 e ACKNOWLEDGED BEFORE ME THIS DAY OF BY�Vl {' 'S 1J h WHO IS PERSONALLY KNOWN TO ME L_)OR WHO HAS PRODUCED L AS IDENTIFICATION. O 't-Q,n y�ei �s. 1 J Q•1—S SIGNATURE OF NO Y PUBLIC TYPE OR PRINT NOTARY EL415%l 40MMISSION NUMBER (SENA GIVENS Y° -state of Florida Ai ;; Notary Public My Comm.Expires Dec 16,2016 Commission#EE 858761 Nationa SLCPDSD Revised 04/11/2011 OFF;:' Bonded wough