HomeMy WebLinkAboutFilled land aff ST. LUCIE.COUNTY
BUILDING & ZONING
2300 VIRGINIA AVENUE
;...5 ) FORT PIERCE,FL 34982-5652
� '• 772-462-1553
FILLED LANDS AFFIDAVIT
1, the undersigned, am the owner of the following described property:
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 Perrn..it. 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 assuning adequate drainage so that the
immediate community WILL NOT be adversely affected. I further acknowledge that in I
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.
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Matthew Lyle Wynne
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Property Owner Name Property Owner Signature Date
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STATE OF FLORIDA,COUNTY OF St . Lucie
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ACKNOWLEDGED BEFORE ME THIS ��DAX OF Z/ AWW*+,e 20 17
BY Matthew Lyle Wynne WHO IS PERSONALLY KNOWN TOMEORViWNO'HASPRODUCED
AS IDENTIFICATION.
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STGNATURE OF QOTARY TYPE OR PRINT NAME OF NOTARY
(SL"A L)
NOTARY PU13LIC TITLE COMMISSION NUMBER
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,,•;;a;;?o�c DOROTHYANN BASKIN
MY COMMISSION#GG 030145
EXPIRES:October 2,2020
Bonded ThN Notary nblie Underwriters
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