HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUL
FORT PIERCE, FL 34982-5652
(772) 462-1553
FILLED LAND AFFIDAVIT RECEIVED
DEC 77 2019
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I, the undersigned, am the owner of the following described Dronerty,
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for which I have applied to St. Lucie County fora Final Development Permit. In
accepting this Final Development Permit, BP Number I acknowledge
that as owner of the above described property, nand 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.
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'roperty Owner Name (P ease Print)
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Property Cl nar•Signature D td e
STATE OF FLORIDA, COUNTY O % "Cl,
ACKNOWLEDGED BEFORE ME THIS 31 DAY OF LJ�T[,J 64 20B
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d 111 r 1 #-UQA /'ld f� WHO IS PERSONALLY KNOWN TO ME OR WHO HAS
PRODUfISI
AS IDENTIFICATION.
TYPE OR
NUMBER
PATRICIA ANN GRIFFIN
a• MY COMMISSION # GG137624
SLCPDSD Revised 04/I I/20l I EXPIRES September 26, 2021
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