HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
FORT PIERCEVIRG�Fl, 34982 5652 SCANNED
(772) 462-1553 BY Rsceveo
St. Lucie Courgy
FILLED LAND AFFIDAVIT 0- x 17,10
Oepartm
St. en<
permltt`u leG0unv
I, the undersigned, am the owner of the following described property,
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(Parcel Id#/Legal desl
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number RDt -QQ$'} 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.
(.1/1l'I ozm Lay) AC/0#7f
Proper er Name (Please Print)
Uop�re D to
STATE OF FLORIDA, COUNTY O&
/I G l.4
CI C
ACKNOWLEDGED BEFORE ME THIS
/i
DAY OF
20,
BY�IILI II�M 2nJnA
O IS PERS NALLY imi
`) OWHO HAS
PRODl�.E
AS IDENTIFICATION.
NUMBER
c•: PATRICIA ANN GRIFFIN
f�F
= MY COMMNION # GG137624
EXPIRES September 26, 2027
SLCPDSD Revised 041112011