HomeMy WebLinkAboutFilled land aff RECEI'.'":D Jail 2 ?017
ST. LUCIE COUNTY
-- �s q BUILDING & ZONING
2300 VIRGINIA AVENUE
h (0. r; _. FORT PIERCE,FL 34982-5652
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k ; M a 772-462-1553
FILLED LANDS AFFIDAVIT
I, the undersigned, am the owner of the following described property:�'R:'�vG2��q
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 Permit. In accepting
Lbis 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. tuc:ie County
Land Development Code, I shall be responsible for assuring adequate drainage So that the
i-m:mediate 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
.Property Owner Name Property Owner Signature Date
STATE OF FLORIDA,COUNTY OF St . Lucie
i
ACKNOWLEDGED BEFORE ME THIS [ DAY OF :j AN"62!�l .20
BxMatthew Lyle Wynne WHO IS PERSONALLY KNOW' NTOMEORWI-fiONASPR000CL'D
AS IDENTIFICATION. Q
SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
(SEAL)
NOTARY PUBLIC TITLE COMMISSTON NUMBER
`;nYPV DOROTHYANN BASKIN
MY COMMISSION#GG 030145
EXPIRES.October2,2020
%Foa(�t?:1`' Bonded Thru Notary Public UnderMiters
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