HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
RECEIVED
SCANNED FILLED LAND AFFIDA T
BY OCT L 4 r; 9
St. Lucie Countv
ST. Lucie County, Permitting
I, the undersigned, am the owner of the following described property,
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 fb5 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.
IlJlliAAA an f&hais
Property Owner Nam (Please Print)
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Property igDanature Da
STATE OF FLORIDA, COUNTY OF &14 F
ACKNOWLEDGED 1Q3EFORE METHIS DAYOF SL &a'e
BYY�`IfMYI DM/OA 0jQJMS WHO IS PERSONALLY KNOWN TOME (011, OR WHO HAS
PRODUCED
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GNATU^�RRAd E`O,F NOTARY PUBLIC
JCOMMISSION NUMBER
SLCPDSD Revised 04/11/2011
AS IDENTIFICATION.
' PATRI6**IN GRIFFIN
MY COMMISSION # GG137624
EXPIRES September 26, 2021