HomeMy WebLinkAboutLYNCH FILLED LAND AFFIDAVIT- . 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,
3328-802-0022-000-8/POD 27 AT THE RESERVE MUIRFIELD REPLAT LOT 19/8441 MUIRRELD WAY
(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 , 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.
DOROTHY LYNCH
roperty Owner Name (Please Print) &
KA
Property Owner Sign Date
STATE OF FLORIDA, COUNTY OF 75-k L U
ACKNOWLEDGED �B,EFORE ME THIS � 5� DAY OF 20 a b
BY Q)f/ � L n c�\ WHO
�ISPERSONALLY KNOWN TO ME OR WHO HAS
,PKODUCED VV ! /s L� VC 1 /1 AS IDENTIFICATION.
'Vk� CV - PS� V.) Z Z 0
SIGNATURE OF NOTARY PUBLI TYPE OR PRINT NOTARY
Gd-(Dd(VaOMMISSION NUMBER
(SEAL)
A"A
Notary Public State of Florida
SLCPDSD Revised 0411 1/2011 Heather Vizzo
A4y Commis5iort GG 262653
of f�pa Expires 11lt 3/2022