HomeMy WebLinkAboutFilled land aff RECE
ST. LUCIE COUNTY
BUILDING & ZONING '
2300 VIRGINIA AVENUE
_ .f FORT PIERCE,FL 34982-5652
.> n •� *: 772-462-1553
FILLED LANDS AFFIDAVIT
I, the undersigned, am the owner of the following described property:��Q� Cam\
Part of 3414-501-1701-000/9 ; Section 26, Township 36s & Range 40E
(Tax ID/Legal description/Address)
.for which I have applied to St. Lucie County for a Final Development Perin.1t. 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 for the development of this property, St.Lucie County is neither obliged
nor liable to provide for, or maintain in any form, adequate-drain.age 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
c./ F
ACKNOWLEDGED BEFORE ME THIS ` DAY OF
BY Matthew Lyle Wynne WHO IS PERSONALLY KNOwN TOME ORW1iONAS PRO DUCCD
AS IDENTIFICATION.
SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
(SCA L)
NOTARY PUBLIC TITLE COMMISSTON NUMB
,• 9 DOROTHYANN BASKIN
?� :aC'•.
MY COMMISSION#GG 030145
EXPIRES:oetober 2,2020
Bonded Thru NOWY Public Underwnilm
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