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HomeMy WebLinkAboutFilled Lands AffidavitPLAAIN1NG & DEVELOPMENT SERVICES DEPARTMENT Building & Code Regulations Division 2300 VIRGINIA AVENUE FORT PIERCE, I -L 34982-5652 (772)462-1553 FILLED LAND AFFIDAVIT 1, the undersigned, am the owner ofthe tollowing described property, 1319- /qt/- bQ®o - oao - o -731a =6dr-'- X1. I of,4 Pierce, FL 3'1957/ (Parcel W/Legal description/Address) tur which I have applied to St. Lucie County for a L'inal Development Permit. In accepting this Final Development Permit, BP Number (X13- QaL/0 , I acknowledge that as uwncr of the above described ptuperty, and in accordance with Section 7.04_U1(D), St. Lucie County Land Develuptnerlt Code, I shall be responsible tur assuring adequate drainage so that the immediate community WILL NOT be adversely attccted. I further acknowledge that in granting this permit tur the development of this property, St. Lucie County is neither obliged nor liable to provide tut, or maintain in any form, adequate drainage Off Illy property which will not adversely affect the immediate community. Mall ASS oh k CX j�r�:o ,�� � P���-�,�s, LLC — Mall Owner Name (Please Print) ao Property wne. Signature Date STATE OF FLOKIDA, COUNTY OF _],—Ik ACKNOWLEEDDG�Et`BEFORE mt I HIS DAY OF A/QiV� 20_'h2,, BY 1 �S WHO IS PERSONALLY KNOWN TO Mt ) OK WHO HAS PDUC AS IDENTIFICATION. KIMBERLY A HAUSER �kGN E OF NOT I T � 1 - ` omi�nssion # QG 30u9a1 1 COMMISSION NUMBER � ��.' Of My Gonn►missidn Expires ,�•+��0 Me 07, 2013 (SEAL) SLCPDSD Revised 04/1 Il2U I I