HomeMy WebLinkAboutFilled land aff RECE-1Vr:D JAN ro ;' ?J17
I. ST. LUCIE.COUNTY
BUILDING 8& ZONING
2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652
772-462-1553
FILLED LANDS AFFIDAVIT
I, the undersigned, am the owner of the following described propertyv;�?�<c�"
Part of 3414-501-1701-000/9 ; Section 26 , Township 36s & Range 40S
(Tax 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 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
no:r liable to provide for, or maintain in any form, adequate drainage o:ff my property which
will not adversely affect the immediate community.
Matthew Lyle Wynne Av,
Property Owner Name Property Owner Signature Date
STATE OF FLORIDA,COUNTY OF St Lucie
ACKNOWLEDGED BEFORE ME THTS--42 I-DAY OF A""A'A-�/ ,20j_?
BYMatthew Lyle Wynne WHO IS PERSONALLY KNOWN TOMEORWNO HAS PRO DUCED
AS rDENT.IFiCATION.
SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
A L)
NOTARY PUBLIC TITLE Od ftpWMN BASKIN
MY COMMISSION#GG 030145
m;
:�•c. EXPIRES:October 2,2020
''•;rF q:•`' Bonded Tnru Notary Public Underwriters
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