HomeMy WebLinkAboutFilled Land Affidavit ST. LUCIRCOUNTY
BUILDING & ZONING
2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652 MAY 311
772-462-1553
PER.TiVrTiNG
Sit. Lucie
FILLED-LAND`S AFFIDAVIT
I, the undersigned, am the owner of the following described property4C��S`C1�4
Part of 3414-501-1701-000/9 ; Section 26, Township 36s & Range 40E
(Tax ID/Legal desctiption/Address)
.for which I have applied to St. Lucie County for a Final Development Permit. In accepting
dais 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. tuaie County
Land Development Code, I sball 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.
Matthew Lyle Wynne �� ✓� l�
Property Owner Name Property Owner Signature Date
STATE OF FLORIDA,COUNTY OF St . Lucie
F
ACKNOWLEDGED BEFORE MB THIS 30 DAX OF —.200.
By Matthew Lyle Wynne WHO IS PERSONALLY KNOWN TO MEOR W140 HAS PROOUCCD
AS rDENTIRCATION.
bt
SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
F�F4�9W3 (Sr-AI,I
NOTARY P[JBLTC TITLE COMMISSION NUMBER
=Public State of Florida n FF 978543/2020