HomeMy WebLinkAboutFILLED LAND AFFIDAVITY
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
SGANNED
FILLED LAND AFFIDAVIT BY
St. Lucie County
I, the undersigned, am the owner of the following described property,
1311 -3701- col 6 - aDL)�
(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 1906-Ob63 , 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.
P, perty Owner Name (Please Print)
bAd
Pr l e 11(�-VnC� f-taLUYLC II S
Property Owner SignatIte D e
STATE OF FLORIDA, COUNTY OF_S �Clt
ACKNOWLEDGED BEFORE ME THIS I � DAY OF 1.�.1 , 20t /
BY WI I IAyy� {'jy�1GL71 RC1GM% Wf10 IS PERSONALLY KNOWN TO ME (_) OR WHO HAS
4TION.
PATRICII>i " GRIFFIN
My COMMISSION # GG137624
EXPIRES September 26, 2021
SLCPDSD Revised 04/11/2011 '-`-
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